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General NPI Number Information
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NPI Number | 1922161348
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Entity Type | Individual
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Provider Name | ELLEN A. BRANKLEY ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 4612 N HABANA AVE
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City | TAMPA
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State | FL
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Zip | 33614-7101
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Country | US
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Telephone | 813-875-9000
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Fax | 813-874-3278
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Provider Business Mailing Address
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Address Line | PO BOX 10744
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City | CLEARWATER
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State | FL
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Zip | 33757-8744
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Country | US
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Telephone | 727-532-0002
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Fax | 727-266-4943
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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 | ARNP1459232
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License Number State | FL
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