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General NPI Number Information
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NPI Number | 1104151083
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Entity Type | Organization
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Legal Business Name | GYSI ARNP SERVICES PLLC
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Dates
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Enumeration Date | 10/09/2009
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Last Update Date | 10/09/2009
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Provider Practice Location Address
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Address Line | 120 SANDALWOOD LN
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32413-2667
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Country | US
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Telephone | 850-819-2748
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Fax |
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Provider Business Mailing Address
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Address Line | 120 SANDALWOOD LN
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32413-2667
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Country | US
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Telephone | 850-819-2748
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | JANET LYNN GYSI
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Credential | ARNPC
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Telephone | 850-819-2748
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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 | ARNP3379702
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License Number State | FL
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