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General NPI Number Information
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NPI Number | 1720051840
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Entity Type | Individual
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Provider Name | FLORENCE P BAMGBOSE ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/09/2006
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Last Update Date | 05/23/2014
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Provider Practice Location Address
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Address Line | 1835 BUFORD CT
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4465
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Country | US
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Telephone | 850-459-7949
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Fax | 850-671-2869
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Provider Business Mailing Address
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Address Line | 6271 WILLIAMS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32311-8526
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Country | US
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Telephone | 850-264-9070
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Fax | 850-671-2869
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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 | ARNP3314182
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP3314182
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License Number State | FL
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