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General NPI Number Information
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NPI Number | 1992908776
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Entity Type | Individual
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Provider Name | JOYCE MARIE RACKAUSKIS-ANDERSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2561 US HIGHWAY 27 S
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City | SEBRING
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State | FL
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Zip | 33870-2125
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Country | US
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Telephone | 863-382-3914
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Fax |
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Provider Business Mailing Address
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Address Line | 3719 FAIRWAY RD
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City | SEBRING
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State | FL
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Zip | 33872-1205
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Country | US
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Telephone | 863-385-8245
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Fax |
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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 | ARNP2676382
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License Number State | FL
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