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General NPI Number Information
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NPI Number | 1689637589
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Entity Type | Individual
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Provider Name | DR. JEAN ERNST JEAN BAPTISTE
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 12748 UNIVERSITY DR
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City | FORT MYERS
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State | FL
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Zip | 33907-5634
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Country | US
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Telephone | 239-464-8089
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Fax | 239-437-5507
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Provider Business Mailing Address
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Address Line | 12748 UNIVERSITY DR
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City | FORT MYERS
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State | FL
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Zip | 33907-5634
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Country | US
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Telephone | 239-437-5500
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Fax | 239-437-5507
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME0091014
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | ME0091014
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2080P0214X
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Taxonomy Name | Pediatric Pulmonology Physician
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License Number | ME91014
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License Number State | FL
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