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General NPI Number Information
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NPI Number | 1568955441
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Entity Type | Individual
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Provider Name | JARED H UMLAND PA
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Gender | Male
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 10000 W COLONIAL DR STE 288
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City | OCOEE
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State | FL
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Zip | 34761-3432
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Country | US
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Telephone | 321-843-8900
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Fax | 321-843-8916
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Provider Business Mailing Address
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Address Line | 10000 W COLONIAL DR STE 288
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City | OCOEE
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State | FL
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Zip | 34761-3432
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Country | US
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Telephone | 321-843-8900
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Fax | 321-843-8916
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA-790
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3352
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9120288
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License Number State | FL
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