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General NPI Number Information
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NPI Number | 1821023029
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Entity Type | Individual
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Provider Name | JENNIFER ANN PLATZ
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Gender | Female
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10 FAIRWAY DR SUITE 122
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1812
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Country | US
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Telephone | 954-725-9263
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Fax | 954-725-9264
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Provider Business Mailing Address
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Address Line | 5100 N OCEAN BLVD #507
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City | LAUDERDALE BY THE SEA
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State | FL
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Zip | 33308-3036
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Country | US
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Telephone | 954-493-7497
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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 | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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