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General NPI Number Information
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NPI Number | 1164752713
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Entity Type | Individual
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Provider Name | SARAH JANE FELLENZ SILVEIRA APRN
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Gender | Female
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Dates
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Enumeration Date | 01/04/2010
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | 7932 W SAND LAKE RD 202
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City | ORLANDO
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State | FL
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Zip | 32819-7263
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Country | US
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Telephone | 407-846-7546
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Fax | 321-206-5419
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Provider Business Mailing Address
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Address Line | PO BOX 690609
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City | ORLANDO
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State | FL
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Zip | 32869-0609
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Country | US
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Telephone | 407-846-7546
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Fax | 321-206-5419
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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 | 4343
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9171914
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9171914
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License Number State | FL
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