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General NPI Number Information
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NPI Number | 1740488345
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Entity Type | Individual
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Provider Name | IRIS NORMA CONCEPCION ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/05/2007
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 8145 CEREBELLUM WAY STE 101&102
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City | TRINITY
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State | FL
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Zip | 34655-1788
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Country | US
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Telephone | 727-845-4999
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Fax | 866-777-2195
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Provider Business Mailing Address
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Address Line | 8145 CEREBELLUM WAY STE 101&102
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City | TRINITY
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State | FL
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Zip | 34655-1788
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Country | US
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Telephone | 727-845-4999
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Fax | 866-777-2195
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | ARNP9254985
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License Number State | FL
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