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General NPI Number Information
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NPI Number | 1801152392
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Entity Type | Organization
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Legal Business Name | PATRICIA LEBRON, ARNP
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 406 S NEPTUNE DR
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-3825
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Country | US
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Telephone | 321-480-2388
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Fax |
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Provider Business Mailing Address
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Address Line | 406 S NEPTUNE DR
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-3825
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Country | US
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Telephone | 321-480-2388
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | HALEY DICKEY
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Credential |
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Telephone | 321-693-1936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9188098
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License Number State | FL
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