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General NPI Number Information
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NPI Number | 1053497420
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Entity Type | Individual
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Provider Name | VIRGINIA SUE SHREVE APRN
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Gender | Female
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Dates
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Enumeration Date | 10/28/2006
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 4627 NW 53RD AVENUE
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City | GAINESVILLE
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State | FL
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Zip | 32606-4627
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Country | US
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Telephone | 352-335-8888
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Fax | 352-335-9427
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Provider Business Mailing Address
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Address Line | 900 S PINE ISLAND RD STE 800
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City | PLANTATION
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State | FL
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Zip | 33324-3923
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Country | US
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Telephone | 352-335-8888
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Fax | 352-335-9427
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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 | APRN2153082
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License Number State | FL
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