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General NPI Number Information
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NPI Number | 1043951965
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Entity Type | Individual
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Provider Name | PRESLEY NOELLE PULSE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 12889 HWY 98 SUITE 107B
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City | MIRAMAR BEACH
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State | FL
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Zip | 32459
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Country | US
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Telephone | 850-837-1271
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Fax |
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Provider Business Mailing Address
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Address Line | 12889 HWY 98 SUITE 107B
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550
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Country | US
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Telephone | 850-837-1271
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11027748
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 315913
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License Number State | TN
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