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General NPI Number Information
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NPI Number | 1891380853
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Entity Type | Organization
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Legal Business Name | PEARLS OF JUNE SOLUTIONS LLC
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 3325 HOLLYWOOD BLVD STE 204A
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6926
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Country | US
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Telephone | 954-505-0784
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 HOLLYWOOD BLVD STE 204A
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6926
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Country | US
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Telephone | 954-505-0784
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KEMLY VALMYR
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Credential | FNP-C
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Telephone | 954-505-0784
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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