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General NPI Number Information
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NPI Number | 1679437610
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Entity Type | Individual
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Provider Name | JENNIFER YVETTE CORVISON-TURBEVILLE
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 9200 NW 39TH AVE STE 130-1020
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City | GAINESVILLE
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State | FL
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Zip | 32606-7331
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Country | US
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Telephone | 855-832-6727
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Fax |
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Provider Business Mailing Address
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Address Line | 2470 N NINA TER
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-5851
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Country | US
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Telephone | 352-812-1041
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | C612439545900
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License Number State | FL
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