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General NPI Number Information
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NPI Number | 1194202663
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Entity Type | Individual
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Provider Name | MARIE C GERMINAL ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/26/2018
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Last Update Date | 03/29/2019
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Provider Practice Location Address
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Address Line | 850 S 21ST ST STE B
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City | FORT PIERCE
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State | FL
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Zip | 34950-4829
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Country | US
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Telephone | 772-252-4872
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Fax | 772-252-4873
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Provider Business Mailing Address
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Address Line | 850 S 21ST ST STE B
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City | FORT PIERCE
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State | FL
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Zip | 34950-4829
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Country | US
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Telephone | 772-252-4872
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Fax | 772-252-4873
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN9284522
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN9284522
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License Number State | FL
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