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General NPI Number Information
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NPI Number | 1124289004
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Entity Type | Individual
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Provider Name | VICTORIA DIANE VOUGHT ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 08/07/2019
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Provider Practice Location Address
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Address Line | 1401 FORUM WAY SUITE 300
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City | WEST PALM BEACH
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State | FL
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Zip | 33401
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Country | US
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Telephone | 561-242-0505
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Fax | 561-242-9548
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Provider Business Mailing Address
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Address Line | 1401 FORUM WAY SUITE 300
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City | WEST PALM BEACH
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State | FL
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Zip | 33401
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Country | US
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Telephone | 561-242-0505
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Fax | 561-242-9548
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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 | ARNP 2749392
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License Number State | FL
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