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General NPI Number Information
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NPI Number | 1649363763
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Entity Type | Individual
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Provider Name | ROBERT P JENSEN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 1040 GULF BREEZE PKWY ANDREWS INSTITUTE
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City | GULF BREEZE
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State | FL
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Zip | 32561-7809
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Country | US
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Telephone | 850-916-3700
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Fax | 850-916-8666
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Provider Business Mailing Address
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Address Line | PO BOX 30532
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City | PENSACOLA
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State | FL
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Zip | 32503-1532
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Country | US
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Telephone | 850-916-3700
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Fax | 850-916-8666
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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 | ME83208
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME83208
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License Number State | FL
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