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General NPI Number Information
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NPI Number | 1609654722
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Entity Type | Individual
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Provider Name | JAZSIDY A WIMBLEY
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Gender | Female
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 4015 CRESCENT PARK DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-3605
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Country | US
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Telephone | 813-492-8310
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Fax |
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Provider Business Mailing Address
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Address Line | 11708 PURE PEBBLE DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-9008
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Country | US
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Telephone | 813-255-7016
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-23-286026
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License Number State | FL
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