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General NPI Number Information
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NPI Number | 1952439689
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Entity Type | Individual
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Provider Name | HEATHER NAOMI CARR ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1408 N KILLIAN DR SUITE 112
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City | LAKE PARK
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State | FL
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Zip | 33403-1962
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Country | US
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Telephone | 561-845-2708
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Fax | 561-844-4090
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Provider Business Mailing Address
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Address Line | 5167 ELPINE WAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33418-7851
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Country | US
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Telephone | 561-848-4532
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Fax | 561-844-4090
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2924632
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License Number State | FL
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