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General NPI Number Information
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NPI Number | 1770908154
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Entity Type | Individual
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Provider Name | DEBORAH PERRYN ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/21/2014
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 1324 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-4543
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Country | US
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Telephone | 863-687-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 626 ARBOR GLEN CIR APT 105
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City | LAKELAND
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State | FL
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Zip | 33805-2281
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Country | US
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Telephone | 863-258-2342
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 2629862
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP2629862
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License Number State | FL
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