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General NPI Number Information
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NPI Number | 1790095073
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Entity Type | Individual
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Provider Name | LATOYA NICOLE CHERRY ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2010
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 3174 NW FEDERAL HWY #3490 SUITE 302-303
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City | JENSEN BEACH
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State | FL
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Zip | 34957
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Country | US
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Telephone | 772-771-9709
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Fax | 800-860-1168
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Provider Business Mailing Address
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Address Line | 3725 SW JACK ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-3951
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Country | US
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Telephone | 786-679-5825
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Fax | 800-860-1168
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN9247990
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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 | ARNP9247990
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP9247990
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | APRN9247990
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License Number State | FL
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