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General NPI Number Information
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NPI Number | 1912455981
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Entity Type | Individual
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Provider Name | MEREDITH BRAINARD ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 4700 MILLENIA BLVD STE 500
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City | ORLANDO
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State | FL
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Zip | 32839-6019
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Country | US
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Telephone | 813-467-6111
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Fax | 813-467-6013
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Provider Business Mailing Address
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Address Line | 360 TOWN PLAZA AVE STE 330
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City | PONTE VEDRA
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State | FL
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Zip | 32081-5175
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Country | US
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Telephone | 423-715-8037
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9315711
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN9315771
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License Number State | FL
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