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General NPI Number Information
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NPI Number | 1730831546
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Entity Type | Individual
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Provider Name | JACQUELYN G AKERS
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Gender | Female
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Dates
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Enumeration Date | 01/23/2022
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Last Update Date | 01/23/2022
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Provider Practice Location Address
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Address Line | 336 N WASHINGTON AVE
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City | MADISON
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State | FL
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Zip | 32340-2182
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Country | US
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Telephone | 850-973-0462
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Fax |
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Provider Business Mailing Address
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Address Line | 3103 NE JUNIPER DR
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City | LEE
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State | FL
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Zip | 32059-4863
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Country | US
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Telephone | 850-973-0462
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | SS1015
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License Number State | FL
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