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General NPI Number Information
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NPI Number | 1235158445
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Entity Type | Individual
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Provider Name | JOAN D FUCHS ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 1721 SW GATLIN BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2757
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Country | US
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Telephone | 772-873-7114
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Fax | 772-873-7115
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Provider Business Mailing Address
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Address Line | 1721 SW GATLIN BLVD
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-2757
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Country | US
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Telephone | 772-873-7114
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Fax | 772-873-7115
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP118277
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License Number State | TX
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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 | ARNP9167933
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP118277
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11036758
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License Number State | FL
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