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General NPI Number Information
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NPI Number | 1457945545
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Entity Type | Individual
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Provider Name | FRANCISCA A A MENCIA-ZIEGENFUS ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 3045 COLUMBIA BLVD STE A108
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City | TITUSVILLE
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State | FL
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Zip | 32780-7864
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Country | US
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Telephone | 321-264-9176
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Fax |
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Provider Business Mailing Address
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Address Line | 5045 VOLUSIA AVE
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City | TITUSVILLE
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State | FL
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Zip | 32780-6829
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Country | US
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Telephone | 484-821-6891
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11011807
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License Number State | FL
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