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General NPI Number Information
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NPI Number | 1366570525
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Entity Type | Individual
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Provider Name | CHRISTINE E PATRICK ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 10/16/2015
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Provider Practice Location Address
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Address Line | 10801 N 56TH ST
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City | TEMPLE TERRACE
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State | FL
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Zip | 33617-3646
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Country | US
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Telephone | 813-988-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 3576 FAIRWAY FOREST DR
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City | PALM HARBOR
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State | FL
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Zip | 34685-1005
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Country | US
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Telephone | 813-988-2700
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9243954
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License Number State | FL
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