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General NPI Number Information
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NPI Number | 1033786397
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Entity Type | Individual
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Provider Name | PATRICIA ANN BARRANCA
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Gender | Female
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Dates
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Enumeration Date | 06/07/2021
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 13940 N US HIGHWAY 441 SUITE 200
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City | LADY LAKE
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State | FL
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Zip | 32159-8909
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Country | US
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Telephone | 352-877-3111
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Fax |
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Provider Business Mailing Address
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Address Line | 13940 N US HIGHWAY 441
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City | LADY LAKE
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State | FL
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Zip | 32159-8908
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Country | US
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Telephone | 352-877-3111
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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 | APRN11013055
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License Number State | FL
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