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General NPI Number Information
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NPI Number | 1023118429
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Entity Type | Individual
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Provider Name | LANCEY IRENE CUNNINGHAM ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 2482 PGA BLVD
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-3507
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Country | US
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Telephone | 561-622-8700
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Fax | 561-686-7252
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Provider Business Mailing Address
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Address Line | 1300 MANOR DR
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City | SINGER ISLAND
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State | FL
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Zip | 33404-2742
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Country | US
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Telephone | 561-882-1541
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP1121572
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License Number State | FL
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