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NPI 1720064256

NPI 1720064256 : JENNIFER REICH : WELLINGTON, FL

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General NPI Number Information
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    NPI Number           |    1720064256
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    Entity Type          |    Individual 
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    Provider Name        |    JENNIFER REICH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/16/2005
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    Last Update Date     |    08/21/2025
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Provider Practice Location Address
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    Address Line         |    8440 LAKE WORTH RD STE 240 
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    City                 |    WELLINGTON
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    State                |    FL
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    Zip                  |    33414
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    Country              |    US
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    Telephone            |    561-737-4777
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7593 W BOYNTON BEACH BLVD STE 220 
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    City                 |    BOYNTON BEACH
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    State                |    FL
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    Zip                  |    33437-6162
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    Country              |    US
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    Telephone            |    561-966-7707
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    Fax                  |    888-316-2198
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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        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    ME152183
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    236304
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    License Number State |    NY
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