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General NPI Number Information
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NPI Number | 1245296839
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Entity Type | Individual
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Provider Name | DEBRA S SHULTMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 766 N SUN DR STE 3030
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City | LAKE MARY
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State | FL
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Zip | 32746-2555
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Country | US
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Telephone | 407-444-2800
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Fax | 407-444-2810
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Provider Business Mailing Address
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Address Line | 807 S ORLANDO AVE SUITE C
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City | WINTER PARK
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State | FL
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Zip | 32789-4870
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Country | US
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Telephone | 407-894-4693
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Fax | 407-261-3869
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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 | 163WN0300X
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Taxonomy Name | Nephrology Registered Nurse
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License Number | ARNP9371456
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 900474
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License Number State | NC
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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 | ARNP9371456
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License Number State | FL
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