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General NPI Number Information
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NPI Number | 1831072636
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Entity Type | Organization
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Legal Business Name | JAYDOC LLC
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 555 BISHOP GATE LN APT 2406
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4194
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Country | US
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Telephone | 316-312-3547
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Fax |
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Provider Business Mailing Address
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Address Line | 555 BISHOP GATE LN APT 2406
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4194
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Country | US
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Telephone | 316-312-3547
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSICA M ADAMS
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Credential | DO
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Telephone | 316-312-3547
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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