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General NPI Number Information
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NPI Number | 1083959688
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Entity Type | Individual
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Provider Name | CHARRITA ANNIESE ERNEWEIN ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2012
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Last Update Date | 12/07/2012
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Provider Practice Location Address
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Address Line | 24420 SR 54
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City | LUTZ
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State | FL
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Zip | 33559-7303
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Country | US
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Telephone | 813-949-4100
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Fax | 813-949-4144
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Provider Business Mailing Address
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Address Line | 2535 MASON OAKS DR
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City | VALRICO
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State | FL
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Zip | 33596-6498
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Country | US
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Telephone | 813-892-0635
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Fax | 727-789-1010
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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 | APRN9186728
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License Number State | FL
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