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General NPI Number Information
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NPI Number | 1255994950
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Entity Type | Individual
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Provider Name | ALICIA ARKELL APRN
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Gender | Female
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 735 DUNLAWTON AVE
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City | PORT ORANGE
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State | FL
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Zip | 32127-9226
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Country | US
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Telephone | 386-301-4415
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Fax |
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Provider Business Mailing Address
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Address Line | 703 CORAL REEF WAY
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City | DAYTONA BEACH
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State | FL
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Zip | 32124-1158
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Country | US
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Telephone | 502-494-4491
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Fax |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11002608
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License Number State | FL
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