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General NPI Number Information
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NPI Number | 1316132061
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Entity Type | Individual
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Provider Name | JUDITH KAREN SOFFLER ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 09/06/2007
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Provider Practice Location Address
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Address Line | 555 STOCKTON STREET
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City | JAX
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State | FL
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Zip | 32204
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Country | US
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Telephone | 904-387-4661
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Fax |
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Provider Business Mailing Address
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Address Line | 4045 MIZNER CIRCLE SOUTH
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City | JAX
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State | FL
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Zip | 32217
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Country | US
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Telephone | 904-448-8613
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 2556802
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2556802
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2556802
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License Number State | FL
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