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General NPI Number Information
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NPI Number | 1720449424
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Entity Type | Organization
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Legal Business Name | CYNTHIA DREW ARNP LLC
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 2803 FRUITVILLE RD
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City | SARASOTA
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State | FL
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Zip | 34237-5344
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Country | US
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Telephone | 941-545-6013
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Fax | 941-729-0115
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Provider Business Mailing Address
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Address Line | 811 FRANKLIN AVE
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City | ELLENTON
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State | FL
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Zip | 34222-2322
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Country | US
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Telephone | 941-545-6013
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Fax | 941-729-0115
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. CYNTHIA JEAN DREW
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Credential | ARNP
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Telephone | 941-545-6013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP9176413
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License Number State | FL
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