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General NPI Number Information
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NPI Number | 1609343524
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Entity Type | Individual
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Provider Name | JANITA MARIE WARD APRN
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Gender | Female
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Dates
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Enumeration Date | 10/29/2018
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 12360 66TH ST STE M
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City | LARGO
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State | FL
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Zip | 33773-3434
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Country | US
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Telephone | 727-249-9218
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Fax |
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Provider Business Mailing Address
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Address Line | 4611 34TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33711-4552
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Country | US
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Telephone | 727-290-6116
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Fax | 727-290-6762
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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 | 11000133
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License Number State | FL
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