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General NPI Number Information
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NPI Number | 1689176075
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Entity Type | Organization
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Legal Business Name | FATIMA MUSIC ARNP, LLC
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Dates
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Enumeration Date | 03/01/2018
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 1811 PALMCREST LN
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City | CLEARWATER
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State | FL
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Zip | 33764-6445
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Country | US
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Telephone | 727-420-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 1811 PALMCREST LN
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City | CLEARWATER
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State | FL
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Zip | 33764-6445
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | FATIMA MUSIC
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Credential | ARNP
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Telephone | 727-420-4150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ARNP9214616
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License Number State | FL
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