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General NPI Number Information
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NPI Number | 1083736615
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Entity Type | Individual
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Provider Name | ELIZABETH KATHRYN NEWMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 4551 W US HIGHWAY 90 STE 101
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City | LAKE CITY
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State | FL
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Zip | 32055-8836
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Country | US
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Telephone | 386-319-8178
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Fax | 386-243-8786
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Provider Business Mailing Address
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Address Line | 12424 COUNTY ROAD 49
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City | LIVE OAK
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State | FL
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Zip | 32060-7083
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Country | US
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Telephone | 386-364-8379
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP3090732
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License Number State | FL
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