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General NPI Number Information
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NPI Number | 1043930571
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Entity Type | Individual
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Provider Name | NICOLE BRITTANY HAMLIN APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/02/2022
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 2815 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-2224
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Country | US
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Telephone | 863-687-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 3205 CROSS FOX DR
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City | MULBERRY
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State | FL
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Zip | 33860-8611
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Country | US
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Telephone |
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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 | APRN11021659
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License Number State | FL
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