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General NPI Number Information
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NPI Number | 1780968370
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Entity Type | Individual
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Provider Name | JENNIFER ROSEO LOMBARDI DPT
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Gender | Female
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Dates
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Enumeration Date | 10/01/2011
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 100 JIM MORAN BLVD
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1702
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Country | US
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Telephone | 954-249-2418
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Fax |
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Provider Business Mailing Address
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Address Line | 2744 NW 28TH TER
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City | BOCA RATON
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State | FL
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Zip | 33434-6028
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Country | US
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Telephone | 561-212-3129
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 26854
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License Number State | FL
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