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General NPI Number Information
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NPI Number | 1083083000
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Entity Type | Individual
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Provider Name | ANGELA JAIMES ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/21/2015
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 365 WEKIVA SPRINGS RD STE 231
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City | LONGWOOD
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State | FL
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Zip | 32779-3690
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Country | US
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Telephone | 321-413-1411
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Fax | 321-379-6923
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Provider Business Mailing Address
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Address Line | 365 WEKIVA SPRINGS RD STE 231
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City | LONGWOOD
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State | FL
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Zip | 32779-3690
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Country | US
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Telephone | 321-413-1411
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Fax | 321-379-6923
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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 | ARNP9331738
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License Number State | FL
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