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General NPI Number Information
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NPI Number | 1043205792
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Entity Type | Individual
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Provider Name | MARY HEALY ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2005
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Last Update Date | 12/08/2016
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Provider Practice Location Address
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Address Line | 1851 HAWTHORNE ST
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City | SARASOTA
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State | FL
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Zip | 34239-2945
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Country | US
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Telephone | 941-365-0433
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Fax | 941-954-2064
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Provider Business Mailing Address
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Address Line | PO BOX 5699
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City | SARASOTA
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State | FL
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Zip | 34277-5699
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Country | US
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Telephone | 941-365-0433
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Fax | 941-954-2064
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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 | ARNP1047882
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License Number State | FL
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