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General NPI Number Information
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NPI Number | 1619963469
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Entity Type | Individual
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Provider Name | ELIZABETH ANN BEVAN KASPER ARNP, FNP-C, DCNP
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Gender | Female
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 5220 BELFORT ROAD SOUTH STE 130
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6017
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Country | US
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Telephone | 727-867-5480
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Fax | 888-507-9833
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Provider Business Mailing Address
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Address Line | 5220 BELFORT ROAD SOUTH STE 130
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City | JACKSONVILLE
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State | FL
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Zip | 32256-6017
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Country | US
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Telephone | 727-867-5480
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Fax | 888-507-9833
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | ARNP2804142
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | FL2804142
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License Number State | FL
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