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General NPI Number Information
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NPI Number | 1538385299
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Entity Type | Individual
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Provider Name | ROBERT JALOSINSKI M.D.,
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 850 CENTRAL AVE SUITE 100
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City | NAPLES
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State | FL
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Zip | 34102-6030
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Country | US
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Telephone | 239-495-9908
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Fax |
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Provider Business Mailing Address
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Address Line | 23433 OLDE MEADOWBROOK CIR
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-9133
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Country | US
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Telephone | 239-495-9908
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME82796
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 4301069576
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License Number State | MI
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