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General NPI Number Information
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NPI Number | 1194267625
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Entity Type | Individual
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Provider Name | CRAIG A CHERRIN ARNP
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Gender | Male
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Dates
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Enumeration Date | 11/15/2016
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Last Update Date | 10/09/2017
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Provider Practice Location Address
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Address Line | 4205 BELFORT RD STE 1100
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City | JACKSONVILLE
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State | FL
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Zip | 32216-5876
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Country | US
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Telephone | 904-296-3103
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Fax | 904-296-3106
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Provider Business Mailing Address
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Address Line | 11945 SAN JOSE BLVD SUITE 300
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City | JACKSONVILLE
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State | FL
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Zip | 32223-1613
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Country | US
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Telephone | 904-396-1725
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Fax | 904-399-1717
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9368162
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License Number State | FL
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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 | ARNP9368162
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License Number State | FL
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