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General NPI Number Information
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NPI Number | 1285638940
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Entity Type | Individual
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Provider Name | NANCY ANN MACE APRN
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Gender | Female
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 3035 BUCKINGHAMMOCK TRL
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City | VERO BEACH
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State | FL
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Zip | 32960-4968
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Country | US
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Telephone | 772-783-4001
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Fax | 772-778-2754
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Provider Business Mailing Address
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Address Line | 3035 BUCKINGHAMMOCK TRL
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City | VERO BEACH
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State | FL
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Zip | 32960-4968
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Country | US
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Telephone | 772-783-4001
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Fax | 772-778-2754
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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 | ARNP1605302
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License Number State | FL
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