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General NPI Number Information
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NPI Number | 1952198335
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Entity Type | Organization
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Legal Business Name | EJERE GROUP INC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 8665 BAYPINE RD STE 2204
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7541
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Country | US
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Telephone | 904-405-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 7969 NW 2ND ST # 118
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City | MIAMI
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State | FL
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Zip | 33126-8018
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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 | CEO
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Name | HECTOR JOSE REYES
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Credential |
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Telephone | 904-405-0777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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