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General NPI Number Information
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NPI Number | 1134674088
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Entity Type | Individual
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Provider Name | DAIQUIRI FRIELING DNP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2016
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Last Update Date | 08/22/2016
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Provider Practice Location Address
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Address Line | 5602 MARQUESAS CIR SUITE 105
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City | SARASOTA
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State | FL
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Zip | 34233-3310
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Country | US
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Telephone | 941-925-9532
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Fax |
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Provider Business Mailing Address
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Address Line | 26305 79TH DR E
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City | MYAKKA CITY
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State | FL
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Zip | 34251-5882
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Country | US
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Telephone | 941-779-4414
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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 | 9324765
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License Number State | FL
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