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General NPI Number Information
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NPI Number | 1881549954
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Entity Type | Organization
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Legal Business Name | JAMIE JEANETTE COACHING LLC
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 9912 SANDPIPER RD E
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City | BRADENTON
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State | FL
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Zip | 34209-3103
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Country | US
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Telephone | 920-254-8737
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Fax |
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Provider Business Mailing Address
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Address Line | 9912 SANDPIPER RD E
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City | BRADENTON
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State | FL
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Zip | 34209-3103
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Country | US
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Telephone | 920-254-8737
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMIE J WEINGAERTNER
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Credential |
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Telephone | 920-254-8737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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