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General NPI Number Information
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NPI Number | 1477005452
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Entity Type | Individual
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Provider Name | MRS. NANCY T MATHEW
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 9834 PINE LEAF LANE
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City | DADE CITY
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State | FL
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Zip | 33525
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Country | US
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Telephone | 813-469-9348
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Fax |
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Provider Business Mailing Address
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Address Line | 12848 AMBER RENEE LN APT 102
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City | DADE CITY
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State | FL
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Zip | 33525-8493
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Country | US
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Telephone | 813-469-9348
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9224097
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License Number State | FL
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