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General NPI Number Information
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NPI Number | 1619496015
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Entity Type | Individual
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Provider Name | ELYSE MARIE PERRY ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/18/2017
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Last Update Date | 09/18/2017
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Provider Practice Location Address
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Address Line | 120 N MONTGOMERY AVE
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City | INVERNESS
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State | FL
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Zip | 34450-2439
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Country | US
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Telephone | 352-423-4930
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Fax |
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Provider Business Mailing Address
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Address Line | 10023 N ATHENIA DR
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City | CITRUS SPRINGS
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State | FL
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Zip | 34434-2601
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Country | US
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Telephone | 607-287-3330
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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 | ARNP9357642
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License Number State | FL
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