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General NPI Number Information
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NPI Number | 1124893573
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Entity Type | Individual
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Provider Name | TERRI MICHELE MINWER ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 140 S BEACH ST STE 202
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-4409
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Country | US
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Telephone | 888-506-8836
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Fax |
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Provider Business Mailing Address
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Address Line | 195 LIGE BRANCH LN
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City | SAINT JOHNS
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State | FL
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Zip | 32259-7993
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Country | US
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Telephone | 904-333-6339
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11029888
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11029888
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11029888
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License Number State | FL
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