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General NPI Number Information
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NPI Number | 1033926928
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Entity Type | Individual
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Provider Name | SARA JOLI CLINTON FNP, MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 2590 HEALING WAY
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-5495
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Country | US
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Telephone | 813-333-1186
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Fax |
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Provider Business Mailing Address
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Address Line | 7251 APPLEGATE DR
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-1030
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Country | US
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Telephone | 352-586-4598
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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 | 11035933
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License Number State | FL
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