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General NPI Number Information
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NPI Number | 1518513258
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Entity Type | Individual
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Provider Name | CAROLINE DEJARNETT FLEXER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/16/2019
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Last Update Date | 06/15/2021
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Provider Practice Location Address
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Address Line | 1111 GLYNCO PKWY STE 10
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City | BRUNSWICK
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State | GA
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Zip | 31525-7930
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Country | US
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Telephone | 912-264-9111
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Fax | 912-262-6909
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Provider Business Mailing Address
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Address Line | 902 ROSE COTTAGE RD
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City | ST SIMONS ISLAND
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State | GA
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Zip | 31522-2253
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Country | US
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Telephone | 706-474-3647
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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 | 2018089940
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License Number State | GA
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