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General NPI Number Information
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NPI Number | 1538395587
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Entity Type | Individual
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Provider Name | ANGELA MARIE MEADOWS ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 151 MARY ESTHER BLVD STE 403A
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City | MARY ESTHER
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State | FL
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Zip | 32569
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Country | US
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Telephone | 850-226-8117
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Fax |
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Provider Business Mailing Address
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Address Line | 151 MARY ESTHER BLVD STE 403A
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City | MARY ESTHER
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State | FL
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Zip | 32569-1975
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Country | US
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Telephone | 850-226-8117
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Fax | 850-476-5422
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | ARNP9212528
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9212528
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License Number State | FL
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