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General NPI Number Information
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NPI Number | 1033002084
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Entity Type | Individual
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Provider Name | CONSTANCE ELAINE LOWER APRN
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Gender | Female
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 12500 N DALE MABRY HWY STE A
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City | TAMPA
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State | FL
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Zip | 33618-2809
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Country | US
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Telephone | 813-960-7533
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Fax | 813-355-5039
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Provider Business Mailing Address
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Address Line | 4914 COUNTRY HILLS DR
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City | TAMPA
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State | FL
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Zip | 33624-1511
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Country | US
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Telephone | 860-922-5517
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11039840
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | APRN11039840
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License Number State | FL
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