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General NPI Number Information
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NPI Number | 1790174571
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Entity Type | Individual
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Provider Name | MARIE JAUNA MESIDOR ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 01/15/2015
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Provider Practice Location Address
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Address Line | 19620 VILLA ROSA LOOP
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City | FORT MYERS
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State | FL
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Zip | 33967-5713
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Country | US
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Telephone | 239-249-1602
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Fax |
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Provider Business Mailing Address
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Address Line | 19620 VILLA ROSA LOOP
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City | FORT MYERS
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State | FL
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Zip | 33967-5713
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Country | US
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Telephone | 239-249-1601
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9259054
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License Number State | FL
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