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General NPI Number Information
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NPI Number | 1497291660
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Entity Type | Organization
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Legal Business Name | REPRODUCTIVE MEDICINE ASSOCIATES OF FLORIDA
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 400 COLONIAL CENTER PARKWAY SUITE 150
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City | LAKE MARY
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State | FL
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Zip | 32746
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Country | US
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Telephone | 407-804-9670
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Fax | 407-804-9671
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Provider Business Mailing Address
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Address Line | 140 ALLEN ROAD
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City | BASKING RIDGE
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State | NJ
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Zip | 07920
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Country | US
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Telephone | 866-762-3140
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Fax | 973-290-8370
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | REBECCA JENCO
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Credential |
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Telephone | 973-656-2840
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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