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General NPI Number Information
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NPI Number | 1851104848
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Entity Type | Individual
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Provider Name | JENIFER CEBALLOS RN
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 1118 S OAK AVE
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City | SANFORD
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State | FL
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Zip | 32771-2840
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Country | US
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Telephone | 407-361-2308
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Fax |
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Provider Business Mailing Address
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Address Line | 1118 S OAK AVE
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City | SANFORD
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State | FL
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Zip | 32771-2840
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Country | US
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Telephone | 407-361-2308
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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 | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number | RN9285326
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License Number State | FL
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