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General NPI Number Information
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NPI Number | 1487745246
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Entity Type | Individual
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Provider Name | PAMELA DEBUS ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 3390 TAMIAMI TRL STE 105
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8157
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Country | US
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Telephone | 941-883-5050
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Fax | 941-883-5055
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Provider Business Mailing Address
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Address Line | 3434 HANCOCK BRIDGE PKWY
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City | N FT MYERS
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State | FL
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Zip | 33903-7094
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Country | US
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Telephone | 877-856-3774
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Fax | 239-599-2625
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP1546032
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License Number State | FL
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