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General NPI Number Information
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NPI Number | 1538299979
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Entity Type | Individual
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Provider Name | ELIZABETH ANN BURCAW ARNP,BC
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 13906 LAKESHORE BLVD STE 340
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City | HUDSON
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State | FL
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Zip | 34667-1487
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Country | US
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Telephone | 727-863-7000
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Fax | 727-863-7007
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Provider Business Mailing Address
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Address Line | 13906 LAKESHORE BLVD STE 340
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City | HUDSON
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State | FL
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Zip | 34667-1487
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Country | US
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Telephone | 727-863-7000
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Fax | 727-863-7007
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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 | ARNP 1769702
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License Number State | FL
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