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General NPI Number Information
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NPI Number | 1750485298
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Entity Type | Individual
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Provider Name | SANDRA FARNETI CORSETTI DNP, ARNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 33343 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-3128
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Country | US
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Telephone | 727-772-0150
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Fax |
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Provider Business Mailing Address
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Address Line | 33670 US HWY 19N
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City | PALM HARBOR
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State | FL
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Zip | 34684
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Country | US
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Telephone | 727-514-2114
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9286167
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License Number State | FL
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