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General NPI Number Information
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NPI Number | 1649245168
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Entity Type | Individual
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Provider Name | ELAINE KING MITCHELL ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1150 45TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2361
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Country | US
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Telephone | 561-514-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 2280 TREASURE ISLE DR A-85
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-1340
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Country | US
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Telephone | 561-308-7904
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 3120152
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License Number State | FL
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