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General NPI Number Information
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NPI Number | 1487179024
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Entity Type | Individual
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Provider Name | CARRIE CUMMINGS NAGRANI ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 08/04/2017
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Provider Practice Location Address
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Address Line | 200 GRAND BLVD STE 205A
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-1884
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Country | US
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Telephone | 850-837-2589
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Fax |
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Provider Business Mailing Address
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Address Line | 6330 AUGUSTA CV
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City | DESTIN
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State | FL
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Zip | 32541-3465
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Country | US
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Telephone | 850-520-0186
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 9181608
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License Number State | FL
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