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General NPI Number Information
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NPI Number | 1922501139
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Entity Type | Individual
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Provider Name | JENNIFER RENEE LANDBERG APRN
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Gender | Female
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 475 SW 27TH AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4403
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Country | US
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Telephone | 866-910-5960
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Fax |
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Provider Business Mailing Address
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Address Line | 411 12TH AVE NE
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City | NAPLES
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State | FL
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Zip | 34120-6317
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP138381
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11377393-4405
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License Number State | UT
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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 | 11377393-8900
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License Number State | UT
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN002943
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License Number State | NV
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9406769
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License Number State | FL
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