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General NPI Number Information
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NPI Number | 1851654743
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Entity Type | Individual
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Provider Name | PATRICIA M TESTA ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2012
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 2100 SE OCEAN BLVD SUITE 100
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City | STUART
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State | FL
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Zip | 34996-3332
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Country | US
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Telephone | 772-223-2115
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Fax |
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Provider Business Mailing Address
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Address Line | 19859 GARDENIA DR
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City | JUPITER
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State | FL
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Zip | 33469-2183
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Country | US
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Telephone | 330-719-2438
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | ARNP9246061
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License Number State | FL
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