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General NPI Number Information
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NPI Number | 1053767111
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Entity Type | Individual
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Provider Name | DEBRA JAYNE HARDING ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2016
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Last Update Date | 01/19/2024
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Provider Practice Location Address
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Address Line | 2351 SW MARTIN HWY
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City | PALM CITY
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State | FL
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Zip | 34990-3222
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Country | US
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Telephone | 772-222-5302
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Fax | 772-872-5151
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Provider Business Mailing Address
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Address Line | 3176 SW SUNSET TRACE CIR
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City | PALM CITY
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State | FL
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Zip | 34990-8108
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Country | US
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Telephone | 561-317-2944
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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 | APRN9305488
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License Number State | FL
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