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General NPI Number Information
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NPI Number | 1548738974
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Entity Type | Individual
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Provider Name | JOCELYN ELISE VINCENT ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/03/2018
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Last Update Date | 11/03/2018
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Provider Practice Location Address
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Address Line | 14007 N ACCESS RD
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City | CRYSTAL RIVER
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State | FL
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Zip | 34428-6764
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Country | US
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Telephone | 352-364-8821
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Fax |
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Provider Business Mailing Address
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Address Line | 31023 WRENCREST DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-7890
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Country | US
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Telephone | 904-705-7466
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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 | 363LX0106X
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Taxonomy Name | Occupational Health Nurse Practitioner
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License Number | 9295043
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License Number State | FL
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