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General NPI Number Information
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NPI Number | 1720274483
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Entity Type | Individual
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Provider Name | WENDY ANN YOVAISH ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 60 W GORE ST
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City | ORLANDO
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State | FL
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Zip | 32806-1141
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Country | US
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Telephone | 407-648-7802
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Fax | 321-843-3555
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Provider Business Mailing Address
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Address Line | 60 W GORE ST
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City | ORLANDO
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State | FL
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Zip | 32806-1141
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Country | US
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Telephone | 407-648-7802
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Fax | 321-843-3555
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP1279692
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License Number State | FL
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