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General NPI Number Information
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NPI Number | 1366103236
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Entity Type | Individual
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Provider Name | CINDY LYNN PERDUE FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 2400 MAITLAND CENTER PKWY STE 310
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City | MAITLAND
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State | FL
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Zip | 32751-7442
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Country | US
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Telephone | 407-426-4800
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Fax | 407-426-4820
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Provider Business Mailing Address
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Address Line | 6376 E RECTOR ST
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City | INVERNESS
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State | FL
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Zip | 34452-8052
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Country | US
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Telephone | 352-789-4674
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11014335
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License Number State | FL
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