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General NPI Number Information
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NPI Number | 1538441316
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Entity Type | Individual
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Provider Name | JILL ANGELA WARD MD
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 5816 N SHELDON RD
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City | CANTON
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State | MI
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Zip | 48187-3153
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Country | US
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Telephone | 858-775-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 7829 COLLINS GROVE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7176
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Country | US
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Telephone | 904-535-4815
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 110689
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5307014169
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | FW2754655
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 4301507937
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 93636
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 7171452
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License Number State | ID
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Taxonomy #7
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5315241184
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License Number State | MI
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01093912A
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License Number State | IN
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