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General NPI Number Information
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NPI Number | 1932591294
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Entity Type | Individual
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Provider Name | CHRISTOPHER SHOLES ARNP
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Gender | Male
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 01/11/2016
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Provider Practice Location Address
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Address Line | 1305 S FORT HARRISON AVE SUITE F
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City | CLEARWATER
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State | FL
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Zip | 33756-3301
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Country | US
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Telephone | 727-441-3857
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Fax |
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Provider Business Mailing Address
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Address Line | 100 OAKMONT LN APT 104
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City | BELLEAIR
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State | FL
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Zip | 33756-1956
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Country | US
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Telephone | 727-844-5404
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Fax | 727-844-5425
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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 | ARNP9282963
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License Number State | FL
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