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General NPI Number Information
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NPI Number | 1831017995
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Entity Type | Individual
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Provider Name | JAN GOLEMBISKI RCSWI
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 6804 PORTO FINO CIR
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City | FORT MYERS
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State | FL
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Zip | 33912-7139
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Country | US
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Telephone | 239-294-8331
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Fax |
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Provider Business Mailing Address
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Address Line | 3548 TANGERINE DR
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City | SAINT JAMES CITY
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State | FL
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Zip | 33956-2536
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Country | US
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Telephone | 239-413-2547
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ISW23375
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License Number State | FL
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