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General NPI Number Information
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NPI Number | 1083968820
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Entity Type | Individual
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Provider Name | DENISE M LIVINGSTON ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 4215 EDGEWATER DR
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City | ORLANDO
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State | FL
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Zip | 32804-2206
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Country | US
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Telephone | 407-539-2000
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Fax | 407-398-0050
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Provider Business Mailing Address
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Address Line | 388 MUDDY CREEK LN
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City | ORMOND BEACH
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State | FL
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Zip | 32174-4895
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Country | US
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Telephone | 217-273-4459
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN9299567
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License Number State | FL
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