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General NPI Number Information
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NPI Number | 1871647420
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Entity Type | Individual
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Provider Name | VIRGINIA LATIMER RN, CARN
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 120 S WOODLAND BLVD SUITE 202
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City | DELAND
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State | FL
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Zip | 32728-5458
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Country | US
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Telephone | 386-490-4412
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Fax |
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Provider Business Mailing Address
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Address Line | 1937 N NEMO DR
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City | DELTONA
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State | FL
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Zip | 32725-3938
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN2802792
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License Number State | FL
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