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General NPI Number Information
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NPI Number | 1649368556
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Entity Type | Individual
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Provider Name | CHERI MARIE JROLF DMSC, PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 6421 N FLORIDA AVE
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City | TAMPA
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State | FL
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Zip | 33604-6007
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Country | US
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Telephone | 813-244-5530
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Fax | 813-807-3391
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Provider Business Mailing Address
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Address Line | 824 MANNS HARBOR DR
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City | APOLLO BEACH
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State | FL
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Zip | 33572-3393
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Country | US
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Telephone | 941-350-4545
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Fax | 813-655-1775
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9102012
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9102012
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License Number State | FL
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