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General NPI Number Information
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NPI Number | 1144315185
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Entity Type | Individual
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Provider Name | CARMEN M LOPEZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/11/2009
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Provider Practice Location Address
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Address Line | 3000 MEDICAL PARK DR SUITE500
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City | TAMPA
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State | FL
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Zip | 33613-4680
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Country | US
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Telephone | 813-971-2424
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Fax | 813-972-9575
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Provider Business Mailing Address
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Address Line | 3000 MEDICAL PARK DR SUITE500
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City | TAMPA
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State | FL
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Zip | 33613-4680
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Country | US
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Telephone | 813-971-2424
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Fax | 813-972-9575
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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 | ARNP 2873732
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License Number State | FL
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