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General NPI Number Information
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NPI Number | 1598220154
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Entity Type | Individual
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Provider Name | JENNIFER BABOOLALL APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2019
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Last Update Date | 02/07/2019
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Provider Practice Location Address
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Address Line | 108 N PINE AVE
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City | OCALA
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State | FL
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Zip | 34475-6619
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Country | US
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Telephone | 352-877-9907
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Fax |
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Provider Business Mailing Address
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Address Line | 4545 SE 31ST PL
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City | OCALA
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State | FL
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Zip | 34480-1635
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Country | US
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Telephone | 352-216-1871
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9253153
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License Number State | FL
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