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General NPI Number Information
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NPI Number | 1497659890
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Entity Type | Organization
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Legal Business Name | J&B COMPREHENSIVE MEDICAL CARE SERVICES, LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 2331 N STATE ROAD 7 STE 107
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-3771
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Country | US
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Telephone | 786-985-4049
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Fax |
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Provider Business Mailing Address
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Address Line | 2331 N STATE ROAD 7 STE 107
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-3771
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Country | US
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Telephone | 786-985-4049
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | BRUNETTE BASTIEN
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Credential | NP
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Telephone | 239-293-5829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State | NULL
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