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General NPI Number Information
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NPI Number | 1598160269
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Entity Type | Individual
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Provider Name | JESSICA LEBRON ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 720 W OAK ST STE 380
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City | KISSIMMEE
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State | FL
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Zip | 34741-4910
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Country | US
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Telephone | 407-279-5769
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 LACIE JO LN
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City | KISSIMMEE
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State | FL
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Zip | 34743-3552
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Country | US
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Telephone | 407-301-1881
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ARNP9234130
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License Number State | FL
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