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General NPI Number Information
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NPI Number | 1699084392
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Entity Type | Individual
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Provider Name | SANDRA PATRICIA CARPENTER ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 4915 EHRLICH RD
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City | TAMPA
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State | FL
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Zip | 33624-2038
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Country | US
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Telephone | 813-960-2400
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Fax | 813-960-2410
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Provider Business Mailing Address
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Address Line | 4200 N ARMENIA AVE STE 1
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City | TAMPA
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State | FL
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Zip | 33607-6438
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Country | US
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Telephone | 813-922-3703
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Fax | 813-872-8978
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP3287112
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License Number State | FL
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