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General NPI Number Information
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NPI Number | 1962665638
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Entity Type | Individual
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Provider Name | JAMIE ANDRE MD
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Gender | Male
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 07/13/2022
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Provider Practice Location Address
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Address Line | 2000 HARTMAN RD
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City | FORT PIERCE
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State | FL
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Zip | 34947-4408
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Country | US
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Telephone | 772-465-1170
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Fax | 772-465-1175
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Provider Business Mailing Address
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Address Line | 2000 HARTMAN RD
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City | FORT PIERCE
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State | FL
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Zip | 34947-4408
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Country | US
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Telephone | 772-465-1170
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Fax | 772-465-1175
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 251189
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA09228600
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 53493
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME110090
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME127673
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME127673
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 25MA09228600
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License Number State | NJ
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Taxonomy #8
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 251189
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME127673
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME110090
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License Number State | FL
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