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General NPI Number Information
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NPI Number | 1245757327
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Entity Type | Individual
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Provider Name | NICOLE CARTER ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 809 CR 466 STE 302
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City | LADY LAKE
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State | FL
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Zip | 32159-3215
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Country | US
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Telephone | 352-391-1750
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Fax | 352-391-1752
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Provider Business Mailing Address
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Address Line | 809 CR 466 STE 302 STE 302
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City | LADY LAKE
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State | FL
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Zip | 32159
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Country | US
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Telephone | 352-391-1750
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Fax | 352-391-1752
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9248878
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License Number State | FL
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