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General NPI Number Information
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NPI Number | 1639306939
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Entity Type | Individual
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Provider Name | EDELINE DARDIGNAC ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 2642 EAGLE LAKE DR
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City | CLERMONT
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State | FL
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Zip | 34711
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Country | US
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Telephone | 352-234-8612
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Fax |
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Provider Business Mailing Address
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Address Line | 2642 EAGLE LAKE DR
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City | CLERMONT
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State | FL
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Zip | 34711-6325
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Country | US
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Telephone | 352-234-8612
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN9163120
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | RN9163120
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | RN9163120
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | ARNP9163120
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | ARNP9163120
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP9163120
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP 9163120
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APRN9163120
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9163120
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License Number State | FL
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