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General NPI Number Information
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NPI Number | 1932139482
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Entity Type | Individual
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Provider Name | DEBRA JO HAIN ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 13222 TREE SPARROW DR STE R210
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City | RIVERTON
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State | UT
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Zip | 84096-2889
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Country | US
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Telephone | 801-872-5516
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Fax | 801-212-9942
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Provider Business Mailing Address
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Address Line | 1650 OSCEOLA DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-5038
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Country | US
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Telephone | 561-803-8880
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Fax | 877-409-1795
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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 | ARNP1818372
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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 | 13421220-4405
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | C-APN.0103871-C-NP
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License Number State | CO
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