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General NPI Number Information
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NPI Number | 1619979457
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Entity Type | Individual
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Provider Name | JENNEFFER PULAPAKA DPM
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Gender | Female
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 844 N STONE ST STE 208
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City | DELAND
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State | FL
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Zip | 32720
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Country | US
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Telephone | 386-738-3733
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Fax | 386-738-3733
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Provider Business Mailing Address
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Address Line | 844 N STONE ST STE 208
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City | DELAND
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State | FL
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Zip | 32720-3208
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Country | US
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Telephone | 386-738-3733
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Fax | 888-797-7472
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | PO3160
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License Number State | FL
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