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General NPI Number Information
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NPI Number | 1487351920
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Entity Type | Organization
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Legal Business Name | JFMR AND ASSOCIATES
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 10111 FOREST HILL BLVD
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City | WELLINGTON
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State | FL
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Zip | 33414-6108
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Country | US
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Telephone | 561-598-4291
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Fax |
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Provider Business Mailing Address
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Address Line | 3410 COMMODORE CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6480
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | MARISE DESIR
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Credential | FNP
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Telephone | 561-598-4291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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