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General NPI Number Information
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NPI Number | 1003708249
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Entity Type | Individual
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Provider Name | EFROSINI XANTHOUDAKIS APRN
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Gender | Female
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 2200 OSPREY BLVD
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City | BARTOW
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State | FL
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Zip | 33830-3308
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Country | US
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Telephone | 863-533-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 4315 HIGHLAND PARK BLVD STE A
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City | LAKELAND
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State | FL
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Zip | 33813-1639
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Country | US
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Telephone | 863-816-5884
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11041066
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License Number State | FL
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