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General NPI Number Information
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NPI Number | 1538350418
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Entity Type | Individual
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Provider Name | VICTORIA B WADSWORTH ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/06/2007
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Last Update Date | 07/11/2008
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Provider Practice Location Address
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Address Line | 700 2ND AVE N SUITE 202
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City | NAPLES
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State | FL
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Zip | 34102-5756
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Country | US
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Telephone | 239-430-2929
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Fax | 239-430-2934
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Provider Business Mailing Address
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Address Line | 3021 AIPROT PULLING ROAD N SUITE 103
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City | NAPLES
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State | FL
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Zip | 34105
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Country | US
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Telephone | 239-430-2929
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Fax | 239-430-2934
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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 | ARNP9202515
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License Number State | FL
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