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General NPI Number Information
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NPI Number | 1609780097
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Entity Type | Individual
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Provider Name | JORDYN HUNTER BRAZER
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Gender | Female
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Dates
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Enumeration Date | 10/01/2026
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Last Update Date | 10/01/2026
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Provider Practice Location Address
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Address Line | 4789 SW 148TH AVE STE 104
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City | DAVIE
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State | FL
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Zip | 33330-2120
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Country | US
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Telephone | 305-342-9109
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Fax |
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Provider Business Mailing Address
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Address Line | 19101 SW 59TH ST
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City | SOUTHWEST RANCHES
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State | FL
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Zip | 33332-1373
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Country | US
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Telephone | 305-342-9109
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMT4741
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License Number State | FL
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