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General NPI Number Information
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NPI Number | 1407829666
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Entity Type | Individual
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Provider Name | MARYANN NOVAK ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 07/08/2012
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Provider Practice Location Address
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Address Line | 840 S BEA AVE
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City | INVERNESS
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State | FL
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Zip | 34452-3603
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Country | US
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Telephone | 352-637-6300
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Fax | 352-637-6487
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Provider Business Mailing Address
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Address Line | 840 S BEA AVE
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City | INVERNESS
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State | FL
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Zip | 34452-3603
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Country | US
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Telephone | 352-637-6300
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Fax | 352-637-6487
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP1606922
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | ARNP1606922
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | ARNP1606922
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP1606922
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License Number State | FL
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