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General NPI Number Information
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NPI Number | 1104059666
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Entity Type | Individual
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Provider Name | JOAN M FARMER ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 521 W STATE ROAD 434 SUITE 101
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City | LONGWOOD
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State | FL
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Zip | 32750-4984
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Country | US
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Telephone | 407-830-5437
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Fax | 407-830-4907
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Provider Business Mailing Address
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Address Line | PO BOX 520879
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City | LONGWOOD
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State | FL
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Zip | 32752-0879
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Country | US
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Telephone | 407-830-5437
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Fax | 407-830-4907
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP1482452
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License Number State | FL
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