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General NPI Number Information
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NPI Number | 1275893653
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Entity Type | Individual
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Provider Name | BETH GARVIN MYETTE APRN
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Gender | Female
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Dates
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Enumeration Date | 05/20/2012
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Last Update Date | 07/12/2021
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Provider Practice Location Address
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Address Line | 3501 CATTLEMEN RD STE A
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City | SARASOTA
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State | FL
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Zip | 34232-6054
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Country | US
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Telephone | 941-342-9477
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Fax | 941-342-9488
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Provider Business Mailing Address
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Address Line | 13581 LUXE AVE APT 202
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City | BRADENTON
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State | FL
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Zip | 34211-4522
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Country | US
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Telephone | 617-694-8589
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9493858
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License Number State | FL
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