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General NPI Number Information
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NPI Number | 1932909108
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Entity Type | Individual
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Provider Name | MEGAN M BLOEMKER
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Gender | Female
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 7901 BAYMEADOWS WAY STE 8
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City | JACKSONVILLE
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State | FL
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Zip | 32256-8535
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Country | US
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Telephone | 407-851-5121
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Fax |
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Provider Business Mailing Address
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Address Line | 7790 COLLINS RIDGE BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32244-6420
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Country | US
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Telephone | 630-699-1809
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ISW21595
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License Number State | FL
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