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General NPI Number Information
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NPI Number | 1841286143
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Entity Type | Individual
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Provider Name | DEBORAH BRAY ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/22/2005
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 23315 BLUE WATER CIR
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City | BOCA RATON
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State | FL
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Zip | 33433-7053
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Country | US
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Telephone | 561-368-5358
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Fax | 561-362-8914
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Provider Business Mailing Address
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Address Line | 6384 SHADOW CREEK VILLAGE CIR
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City | LAKE WORTH
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State | FL
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Zip | 33463-8235
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Country | US
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Telephone | 561-357-0214
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Fax | 561-244-0208
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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 | ARNP9181220
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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 | ARNP9181220
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License Number State | FL
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