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General NPI Number Information
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NPI Number | 1659238673
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Entity Type | Individual
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Provider Name | JENNIFER ROBERTS PIANKA APRN
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 2675 TAMPA RD
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City | PALM HARBOR
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State | FL
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Zip | 34684-3109
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Country | US
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Telephone | 727-467-7423
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Fax | 727-523-2122
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Provider Business Mailing Address
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Address Line | 3417 FAIRFIELD TRL
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City | CLEARWATER
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State | FL
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Zip | 33761-1112
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Country | US
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Telephone | 727-385-3089
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN9206339
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License Number State | FL
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