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General NPI Number Information
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NPI Number | 1154673606
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Entity Type | Individual
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Provider Name | CAROLYN A ROLLINS ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 10/02/2017
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD # 100129
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City | GAINESVILLE
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State | FL
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Zip | 32610-4524
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Country | US
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Telephone | 352-273-5505
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Fax | 352-273-5515
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Provider Business Mailing Address
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Address Line | 1600 SW ARCHER RD # 100129
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-273-5505
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Fax | 352-273-5515
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9169940
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License Number State | FL
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