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General NPI Number Information
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NPI Number | 1982166997
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Entity Type | Individual
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Provider Name | JENY THOMAS NP
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Gender | Female
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Dates
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Enumeration Date | 04/01/2019
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 1009 US 27 S
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City | AVON PARK
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State | FL
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Zip | 33825-5107
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Country | US
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Telephone | 863-314-9401
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Fax |
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Provider Business Mailing Address
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Address Line | 2255 GLADES RD STE 228W
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City | BOCA RATON
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State | FL
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Zip | 33431-7391
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Country | US
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Telephone | 561-320-0996
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11000766
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License Number State | FL
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