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General NPI Number Information
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NPI Number | 1285117549
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Entity Type | Organization
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Legal Business Name | PARTHENON MEDICAL PLLC
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Dates
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Enumeration Date | 09/12/2018
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 5105 BOWDEN RD STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32216-5907
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Country | US
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Telephone | 904-660-7896
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Fax | 904-212-2227
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Provider Business Mailing Address
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Address Line | 5105 BOWDEN RD STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32216-5907
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Country | US
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Telephone | 904-609-3349
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Fax | 904-212-2227
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MR. PHILIP CARNEVALE
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Credential | APRN, FNP-C
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Telephone | 904-609-3349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2083A0300X
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Taxonomy Name | Addiction Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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