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General NPI Number Information
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NPI Number | 1912553587
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Entity Type | Individual
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Provider Name | ANA MILENA ALPHONSE ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/10/2019
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Last Update Date | 08/10/2019
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Provider Practice Location Address
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Address Line | 903 SE MONTEREY COMMONS BLVD
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City | STUART
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State | FL
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Zip | 34996-3339
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Country | US
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Telephone | 772-324-8197
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Fax | 772-324-8143
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Provider Business Mailing Address
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Address Line | 6651 SW KEY DEER LN # 66
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City | PALM CITY
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State | FL
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Zip | 34990-8868
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Country | US
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Telephone | 973-907-3318
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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 | APRN11003637
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License Number State | FL
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