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General NPI Number Information
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NPI Number | 1518069772
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Entity Type | Individual
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Provider Name | DARLENE KAY FRITSMA ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6000 LAKE ELLENOR DR
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City | ORLANDO
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State | FL
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Zip | 32809-4615
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Country | US
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Telephone | 407-245-5951
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Fax | 407-245-6025
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Provider Business Mailing Address
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Address Line | 1405 HYDE PARK DR
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City | WINTER PARK
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State | FL
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Zip | 32792-8144
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Country | US
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Telephone | 407-679-7240
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Fax | 407-679-7240
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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 | FL740302
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License Number State | FL
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