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General NPI Number Information
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NPI Number | 1437805439
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Entity Type | Individual
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Provider Name | PAMELA MANDESA TURNER
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Gender | Female
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 1905 S 25TH ST STE 105
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City | FORT PIERCE
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State | FL
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Zip | 34947-4739
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Country | US
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Telephone | 772-626-5574
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Fax | 772-742-8503
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Provider Business Mailing Address
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Address Line | 1905 S 25TH ST STE 105
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City | FORT PIERCE
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State | FL
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Zip | 34947-4739
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Country | US
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Telephone | 772-626-5574
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Fax | 772-742-8503
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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