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General NPI Number Information
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NPI Number | 1558497909
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Entity Type | Individual
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Provider Name | POMPILIO PEREZ ARNP
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Gender | Male
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 2104 MASSEY AVE BUILDING 2104
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City | JACKSONVILLE
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State | FL
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Zip | 32228
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Country | US
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Telephone | 904-270-4303
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 SEASCAPE WAY APT 103
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City | JACKSONVILLE
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State | FL
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Zip | 32224-0624
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Country | US
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Telephone | 786-543-2543
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Fax | 786-543-2543
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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 | APRN11006644
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License Number State | FL
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