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General NPI Number Information
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NPI Number | 1982345757
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Entity Type | Organization
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Legal Business Name | JV MOBILE CARE
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 31236 BRIDGEGATE DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-8219
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Country | US
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Telephone | 321-537-7636
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7325
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-0105
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Country | US
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Telephone | 321-537-7636
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Fax |
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Authorized Official
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Title or Position | APRN/OWNER
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Name | MRS. JEANNETTE VELAZQUEZ- GOMEZ
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Credential | APRN
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Telephone | 321-537-7636
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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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