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General NPI Number Information
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NPI Number | 1710239165
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Entity Type | Individual
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Provider Name | DENISE DEBONE ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2012
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 4426 WILLIAMS DR
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City | GEORGETOWN
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State | TX
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Zip | 78628-1341
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Country | US
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Telephone | 512-492-5640
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Fax |
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Provider Business Mailing Address
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Address Line | 901 HIDDEN VALLEY DR #9101
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City | ROUND ROCK
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State | TX
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Zip | 78665-1394
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Country | US
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Telephone | 954-540-8366
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9194128
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP125986
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License Number State | TX
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