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General NPI Number Information
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NPI Number | 1376730796
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Entity Type | Organization
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Legal Business Name | ADVANCED PRACTITIONERS
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Dates
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Enumeration Date | 09/30/2007
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 26 E LIBERTY ST
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City | BROOKSVILLE
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State | FL
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Zip | 34601-2910
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Country | US
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Telephone | 352-848-3068
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Fax | 352-848-3058
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Provider Business Mailing Address
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Address Line | PO BOX 36
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City | BROOKSVILLE
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State | FL
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Zip | 34605-0036
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Country | US
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Telephone | 352-346-5949
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Fax | 352-848-3058
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Authorized Official
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Title or Position | A.R.N.P.
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Name | MS. CARMEN REGINA GALDA
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Credential | A.R.N.P.
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Telephone | 352-346-5949
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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 |
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License Number State |
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