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General NPI Number Information
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NPI Number | 1780526517
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Entity Type | Organization
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Legal Business Name | JMD PRESTIGIOUS HEALTH
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 122 S M ST
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-4108
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Country | US
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Telephone | 321-432-0610
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Fax | 888-253-2820
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Provider Business Mailing Address
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Address Line | 122 S M ST
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City | LAKE WORTH BEACH
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State | FL
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Zip | 33460-4108
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Country | US
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Telephone | 321-432-0610
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Fax | 888-253-2820
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Authorized Official
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Title or Position | APRN, FNP-BC
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Name | JOANE MARCELIN DUVAL
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Credential | NP
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Telephone | 321-432-0610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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