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General NPI Number Information
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NPI Number | 1972513414
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Entity Type | Individual
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Provider Name | DEBORAH CHASTAIN ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3627 UNIVERSITY BLVD S SUITE 415
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City | JACKSONVILLE
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State | FL
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Zip | 32216-4230
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Country | US
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Telephone | 904-398-5123
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Fax | 904-398-9157
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Provider Business Mailing Address
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Address Line | 7464 SCARLET IBIS LN
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City | JACKSONVILLE
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State | FL
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Zip | 32256-2884
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Country | US
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Telephone | 904-614-5882
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Fax | 904-379-7024
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 2934932
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License Number State | FL
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