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General NPI Number Information
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NPI Number | 1316002249
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Entity Type | Individual
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Provider Name | ELAINE I KINDER ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 212 S FLORIDA ST
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City | BUSHNELL
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State | FL
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Zip | 33513-6703
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Country | US
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Telephone | 352-793-2441
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Fax | 352-793-3282
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Provider Business Mailing Address
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Address Line | 117 W ALEXANDER ST PMB # 387
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City | PLANT CITY
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State | FL
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Zip | 33563
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Country | US
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Telephone | 813-754-7756
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Fax | 813-754-7565
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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 | ARNP3204652
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License Number State | FL
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