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General NPI Number Information
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NPI Number | 1013181213
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Entity Type | Individual
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Provider Name | BEVERLEY W. SPALDING ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 1211 DATON RD SW
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City | PALM BAY
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State | FL
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Zip | 32908-7518
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Country | US
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Telephone | 321-723-4820
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110637
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City | PALM BAY
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State | FL
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Zip | 32911-0637
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Country | US
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Telephone | 201-233-4018
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9177730
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License Number State | FL
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