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General NPI Number Information
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NPI Number | 1144695842
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Entity Type | Individual
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Provider Name | AUBREY FULTON ARNP
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Gender | Male
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 4270 TAMIAMI TRL E STE 201
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City | NAPLES
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State | FL
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Zip | 34112-6887
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Country | US
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Telephone | 239-799-7219
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Fax | 239-799-7209
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Provider Business Mailing Address
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Address Line | 4270 TAMIAMI TRL E STE 201
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City | NAPLES
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State | FL
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Zip | 34112-6887
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Country | US
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Telephone | 239-799-7219
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Fax | 239-799-7209
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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 | ARNP9319076
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License Number State | FL
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