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General NPI Number Information
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NPI Number | 1891081204
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Entity Type | Individual
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Provider Name | CHRISTINE PAULA DORMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/23/2011
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Last Update Date | 10/14/2020
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Provider Practice Location Address
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Address Line | 3801 S KANNER HWY STE 200
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City | STUART
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State | FL
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Zip | 34994-4801
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Country | US
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Telephone | 772-223-4978
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Fax | 772-223-2847
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Provider Business Mailing Address
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Address Line | PO BOX 417
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City | STUART
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State | FL
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Zip | 34995-0417
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Country | US
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Telephone | 772-781-2799
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Fax | 772-781-2716
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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 | ARNP2990632
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License Number State | FL
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