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General NPI Number Information
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NPI Number | 1043524895
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Entity Type | Individual
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Provider Name | DELIA G MONROE ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 1 MEDICAL VILLAGE DRIVE
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City | EDGEWOOD
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State | KY
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Zip | 41017-3403
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Country | US
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Telephone | 859-301-2000
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Fax | 859-426-4140
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Provider Business Mailing Address
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Address Line | 1750 17TH ST STE G
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City | SARASOTA
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State | FL
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Zip | 34234-8666
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Country | US
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Telephone | 941-732-6837
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Fax | 941-331-2540
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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 | APRN.CNP021882
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3012892
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License Number State | KY
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