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General NPI Number Information
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NPI Number | 1134630916
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Entity Type | Individual
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Provider Name | CARRIE ANIELLO RN
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Gender | Female
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Dates
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Enumeration Date | 10/19/2017
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 910 OLD CAMP RD STE 210
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City | THE VILLAGES
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State | FL
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Zip | 32162-5605
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Country | US
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Telephone | 352-751-3356
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Fax |
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Provider Business Mailing Address
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Address Line | 36703 ALAQUA CT
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City | EUSTIS
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State | FL
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Zip | 32736-7953
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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 | ARNP9308475
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9308475
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License Number State | FL
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