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General NPI Number Information
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NPI Number | 1881330728
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Entity Type | Individual
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Provider Name | ROSE JUNIE J FLEURIDOR FNP
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Gender | Female
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Dates
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Enumeration Date | 05/12/2022
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1 SHIRCLIFF WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32204-4748
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Country | US
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Telephone | 904-308-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 9832 MELROSE CREEK DR
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City | JACKSONVILLE
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State | FL
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Zip | 32222-2508
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Country | US
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Telephone | 516-943-2053
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11018578
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | RN9368237
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11018578
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License Number State | FL
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