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General NPI Number Information
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NPI Number | 1609159813
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Entity Type | Individual
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Provider Name | KATHLEEN ANN MCNAIR ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/23/2011
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 275 W COCOA BEACH CSWY
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City | COCOA BEACH
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State | FL
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Zip | 32931-3529
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Country | US
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Telephone | 321-799-7777
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Fax | 321-725-7028
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Provider Business Mailing Address
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Address Line | 13825 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-3232
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Country | US
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Telephone | 772-918-2101
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Fax | 772-918-2118
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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 | ARNP2834552
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License Number State | FL
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