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General NPI Number Information
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NPI Number | 1679255780
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Entity Type | Individual
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Provider Name | JESSICA ROSARIO APRN
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Gender | Female
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 8981 COLONIAL CENTER DR
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City | FORT MYERS
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State | FL
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Zip | 33905-7816
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Country | US
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Telephone | 239-938-0800
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Fax | 866-420-0122
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Provider Business Mailing Address
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Address Line | PO BOX 102222
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City | ATLANTA
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State | GA
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Zip | 30368-2222
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Country | US
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Telephone | 239-432-8500
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Fax | 813-499-2658
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11027692
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License Number State | FL
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