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General NPI Number Information
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NPI Number | 1831799790
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Entity Type | Organization
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Legal Business Name | JENNMOBILEMED INC
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 631 SW 17TH CT
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City | BOCA RATON
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State | FL
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Zip | 33486-6413
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Country | US
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Telephone | 561-997-4425
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Fax | 380-235-7600
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Provider Business Mailing Address
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Address Line | 631 SW 17TH CT
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City | BOCA RATON
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State | FL
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Zip | 33486-6413
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Country | US
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Telephone | 561-997-4425
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Fax | 380-235-7600
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Authorized Official
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Title or Position | AUTHORIZED OFFICAL
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Name | MRS. JENNIFER ROSEMARIE WEIBEL
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Credential | APRN
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Telephone | 561-328-3610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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