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General NPI Number Information
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NPI Number | 1609165984
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Entity Type | Individual
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Provider Name | JENNIFER DOAK ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 2440 SE FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-4531
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Country | US
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Telephone | 772-781-2207
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Fax |
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Provider Business Mailing Address
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Address Line | 2429 NE GINGER TER
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City | JENSEN BEACH
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State | FL
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Zip | 34957-4645
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Country | US
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Telephone | 772-215-7012
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP1053562
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License Number State | FL
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