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NPI 1437104692

NPI 1437104692 : DONNA S PRICE ARNP : JACKSONVILLE, FL

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General NPI Number Information
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    NPI Number           |    1437104692
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA S PRICE ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/24/2006
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    Last Update Date     |    01/02/2013
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Provider Practice Location Address
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    Address Line         |    5300 NORTH PEARL STREET 
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32208
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    Country              |    US
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    Telephone            |    904-353-2130
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    Fax                  |    904-353-2131
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Provider Business Mailing Address
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    Address Line         |    900 UNIVERSITY BLVD. NORTH MC 75
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    City                 |    JACKSONVILLE
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    State                |    FL
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    Zip                  |    32211
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    Country              |    US
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    Telephone            |    904-253-2062
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    Fax                  |    904-253-1942
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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        |    363LX0001X
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    Taxonomy Name        |    Obstetrics & Gynecology Nurse Practitioner
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    License Number       |    ARNP1064692
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    License Number State |    FL
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