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General NPI Number Information
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NPI Number | 1538006085
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Entity Type | Individual
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Provider Name | JENNIFER FLORES PENA DDS
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Gender | Female
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 1339 N SUMTER BLVD
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City | NORTH PORT
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State | FL
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Zip | 34286-8072
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Country | US
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Telephone | 941-941-7528
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Fax |
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Provider Business Mailing Address
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Address Line | 8321 BELLA VISTA TER
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City | FORT WASHINGTON
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State | MD
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Zip | 20744-5504
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Country | US
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Telephone | 240-502-6846
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN31523
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License Number State | FL
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