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General NPI Number Information
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NPI Number | 1770555880
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Entity Type | Individual
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Provider Name | MARILYN K HOWARD ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1352 COUNTRY CLUB RD
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City | GULF BREEZE
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State | FL
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Zip | 32563-3471
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Country | US
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Telephone | 850-916-1636
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Fax | 850-916-1350
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Provider Business Mailing Address
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Address Line | 1352 COUNTRY CLUB RD
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City | GULF BREEZE
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State | FL
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Zip | 32563-3471
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Country | US
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Telephone | 850-916-1636
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Fax | 850-916-1350
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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 | 1034362
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License Number State | FL
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