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General NPI Number Information
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NPI Number | 1346918026
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Entity Type | Individual
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Provider Name | BROOKE TURNAMIAN STUTTS PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 11261 SAN JOSE BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32223-7230
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Country | US
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Telephone | 904-292-9033
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Fax | 904-292-4127
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Provider Business Mailing Address
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Address Line | PO BOX 45443
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City | SALT LAKE CITY
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State | UT
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Zip | 84145-0443
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Country | US
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Telephone | 904-202-1032
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Fax | 904-376-4107
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9114624
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License Number State | FL
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