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General NPI Number Information
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NPI Number | 1104572445
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Entity Type | Individual
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Provider Name | MARCIA RAMSAY ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 09/02/2022
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Provider Practice Location Address
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Address Line | 1025 NEWBERN ST NE
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City | PALM BAY
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State | FL
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Zip | 32905-4427
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Country | US
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Telephone | 321-960-5972
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 S FISKE BLVD
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City | ROCKLEDGE
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State | FL
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Zip | 32955-4306
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F02220103
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11018702
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License Number State | FL
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