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General NPI Number Information
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NPI Number | 1629131594
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Entity Type | Individual
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Provider Name | CARINE M DESPINOS A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 09/22/2015
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Provider Practice Location Address
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Address Line | 3498 NW FEDERAL HWY SUITE C
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City | JENSEN BEACH
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State | FL
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Zip | 34957-4441
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Country | US
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Telephone | 772-223-5777
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Fax | 772-223-4949
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Provider Business Mailing Address
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Address Line | PO BOX 417
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City | STUART
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State | FL
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Zip | 34995-0417
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Country | US
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Telephone | 772-223-2832
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Fax | 772-223-5646
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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 | ARNP1530342
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License Number State | FL
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