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General NPI Number Information
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NPI Number | 1811918469
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Entity Type | Individual
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Provider Name | JODELL KAY ALLEN MD
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 01/05/2012
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Provider Practice Location Address
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Address Line | 1135 NW 23RD AVE SUITE N
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City | GAINESVILLE
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State | FL
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Zip | 32609-5415
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Country | US
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Telephone | 352-378-9191
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Fax | 352-372-4823
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Provider Business Mailing Address
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Address Line | 4331 UNIVERSITY BLVD S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4909
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Country | US
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Telephone | 904-731-2755
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Fax | 904-731-7376
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 37420
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License Number State | CO
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