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General NPI Number Information
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NPI Number | 1669553632
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Entity Type | Individual
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Provider Name | JENNIFER ELLEN LEVY P.A.
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Gender | Female
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 03/27/2025
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Provider Practice Location Address
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Address Line | 775 W INDIANTOWN RD STE 5
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City | JUPITER
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State | FL
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Zip | 33458-7563
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Country | US
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Telephone | 561-250-6169
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 SW CRANE CREEK AVE
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City | PALM CITY
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State | FL
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Zip | 34990-2214
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Country | US
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Telephone | 954-647-6660
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9103880
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License Number State | FL
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