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General NPI Number Information
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NPI Number | 1851568141
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Entity Type | Individual
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Provider Name | VANESSA DONITA KNOWLES ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 1500 W UNIVERSITY PKWY
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City | SARASOTA
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State | FL
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Zip | 34243-2217
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Country | US
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Telephone | 941-362-1294
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Fax | 855-481-9771
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Provider Business Mailing Address
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Address Line | 4500 S 129TH EAST AVE STE 191
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City | TULSA
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State | OK
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Zip | 74134-5891
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Country | US
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Telephone | 800-993-8244
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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 | ARNP3170312
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License Number State | FL
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