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General NPI Number Information
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NPI Number | 1568445260
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Entity Type | Individual
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Provider Name | FLOREYCE ANN PALMER ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 08/20/2014
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Provider Practice Location Address
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Address Line | 1061 HARMON AVE
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City | FORT STEWART
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State | GA
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Zip | 31314-5641
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Country | US
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Telephone | 912-435-5986
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Fax | 912-435-6861
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Provider Business Mailing Address
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Address Line | 1007 45TH ST E
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City | BRADENTON
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State | FL
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Zip | 34208-5825
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Country | US
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Telephone | 941-748-7352
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN 2629272
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License Number State | FL
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