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General NPI Number Information
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NPI Number | 1043801772
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Entity Type | Organization
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Legal Business Name | CARING HEART FAMILY NURSE PRACTITIONER PLLC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 02/01/2026
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Provider Practice Location Address
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Address Line | 21 OLD KINGS RD N UNIT 108
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City | PALM COAST
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State | FL
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Zip | 32137-8254
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Country | US
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Telephone | 239-222-8065
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Fax | 386-232-5152
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Provider Business Mailing Address
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Address Line | 21 OLD KINGS RD N STE B108
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City | PALM COAST
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State | FL
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Zip | 32137-8255
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Country | US
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Telephone | 407-550-7077
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Fax | 386-877-2006
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Authorized Official
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Title or Position | OWNER
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Name | EVANGELINE BUTLER
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Credential |
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Telephone | 386-627-4553
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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 |
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License Number State |
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