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General NPI Number Information
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NPI Number | 1457320681
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Entity Type | Individual
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Provider Name | LYONEL A. JEAN-BAPTISTE M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 03/02/2022
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Provider Practice Location Address
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Address Line | 1021 HEALTH PARK DR
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City | MOORE HAVEN
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State | FL
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Zip | 33471-6206
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Country | US
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Telephone | 863-946-0405
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Fax | 844-542-8959
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Provider Business Mailing Address
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Address Line | 1021 HEALTH PARK DR
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City | MOORE HAVEN
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State | FL
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Zip | 33471-6206
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Country | US
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Telephone | 863-946-0405
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Fax | 844-542-8959
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME64440
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License Number State | FL
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