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General NPI Number Information
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NPI Number | 1285053645
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Entity Type | Individual
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Provider Name | RHONDA BROUGHTON ARNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 580 W 8TH ST TOWER 1, 5TH FLOOR, STE 513
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City | JACKSONVILLE
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State | FL
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Zip | 32209-6533
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Country | US
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Telephone | 904-633-0797
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 BLUE HERON LN N
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-8505
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Country | US
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Telephone | 904-246-8436
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP3187952
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License Number State | FL
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