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General NPI Number Information
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NPI Number | 1467851493
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Entity Type | Individual
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Provider Name | DEBBIE-ANN PATRICE ANDERSON-DELAINE ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 1400 N SEMORAN BLVD STE E
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City | ORLANDO
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State | FL
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Zip | 32807-3562
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Country | US
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Telephone | 407-823-8421
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Fax |
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Provider Business Mailing Address
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Address Line | 15155 W COLONIAL DR
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4272
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Country | US
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Telephone | 321-290-2430
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Fax | 407-440-2767
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN3117292
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP 3117292
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License Number State | FL
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