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General NPI Number Information
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NPI Number | 1942727078
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Entity Type | Individual
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Provider Name | JENNIFER BARRELL LDN
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Gender | Female
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 08/29/2017
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Provider Practice Location Address
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Address Line | 3531 BONITA BAY BLVD STE 300
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City | BONITA SPRINGS
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State | FL
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Zip | 34134-1704
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Country | US
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Telephone | 239-676-5249
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Fax |
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Provider Business Mailing Address
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Address Line | 15341 CORTONA WAY
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City | NAPLES
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State | FL
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Zip | 34120-0675
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Country | US
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Telephone | 954-661-0435
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | ND8375
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License Number State | FL
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