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General NPI Number Information
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NPI Number | 1730237595
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Entity Type | Individual
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Provider Name | JAY ALEXANDER HOMBURGER MD
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD STE SB290
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City | W HOLLYWOOD
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State | CA
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Zip | 90048-1804
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Country | US
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Telephone | 310-423-5841
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Fax |
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Provider Business Mailing Address
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Address Line | 820 PRUDENTIAL DR STE 606
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8208
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Country | US
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Telephone | 706-288-4117
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 058425
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | C169806
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME100520
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License Number State | FL
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