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General NPI Number Information
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NPI Number | 1760911366
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Entity Type | Individual
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Provider Name | MARIE JOSEPH ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 10/11/2020
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Provider Practice Location Address
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Address Line | 3932 NW 92ND AVE
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City | SUNRISE
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State | FL
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Zip | 33351-8837
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Country | US
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Telephone | 954-464-9351
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Fax |
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Provider Business Mailing Address
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Address Line | 3932 NW 92ND AVE
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City | SUNRISE
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State | FL
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Zip | 33351-8837
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Country | US
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Telephone | 954-464-9351
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | AG02170124
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9187209
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License Number State | FL
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