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General NPI Number Information
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NPI Number | 1942314661
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Entity Type | Individual
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Provider Name | PAMELA LYNN FLAHERTY ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 150 AMIDON LN WALKER FAMILY SERVICE CENTER
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City | ORLANDO
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State | FL
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Zip | 32809
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Country | US
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Telephone | 407-850-5100
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Fax | 407-850-5141
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Provider Business Mailing Address
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Address Line | 1120 CITRUS OAKS RUN
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4800
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Country | US
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Telephone | 407-716-6443
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Fax | 407-359-1217
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP1027292
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License Number State | FL
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