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General NPI Number Information
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NPI Number | 1730694290
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Entity Type | Individual
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Provider Name | DAVID JONATHAN TONTO ARNP
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Gender | Male
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 11250 BAPTIST HEALTH DR
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City | JACKSONVILLE
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State | FL
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Zip | 32218-2978
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Country | US
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Telephone | 904-202-6905
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Fax |
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Provider Business Mailing Address
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Address Line | 5200 LIBERTY LAKE DR S
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City | JACKSONVILLE
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State | FL
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Zip | 32258-3306
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Country | US
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Telephone | 904-591-6443
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 3283922
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License Number State | FL
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