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NPI 1225003460

NPI 1225003460 : DAVID H JAROSZ ARNP : KEYSTONE HEIGHTS, FL

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General NPI Number Information
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    NPI Number           |    1225003460
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID H JAROSZ ARNP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/21/2006
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    Last Update Date     |    10/31/2013
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Provider Practice Location Address
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    Address Line         |    100 COMMERCIAL DR 
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    City                 |    KEYSTONE HEIGHTS
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    State                |    FL
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    Zip                  |    32656-6802
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    Country              |    US
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    Telephone            |    352-473-6595
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    Fax                  |    352-473-6597
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Provider Business Mailing Address
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    Address Line         |    1302 RIVER ST 
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    City                 |    PALATKA
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    State                |    FL
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    Zip                  |    32177-5042
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    Country              |    US
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    Telephone            |    386-328-8371
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    Fax                  |    386-328-1519
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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       |    ARNP3006402
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    License Number State |    FL
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