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General NPI Number Information
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NPI Number | 1114493012
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Entity Type | Individual
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Provider Name | EMILY S DARR FNP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 1 SAN JOSE VLG
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City | TINIAN
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State | NMI
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Zip | 96952
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Country | UM
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Telephone | 670-286-2606
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SAN JOSE VLG
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City | TINIAN
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State | NMI
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Zip | 96952
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Country | UM
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F10180377
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License Number State | MP
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