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General NPI Number Information
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NPI Number | 1083287783
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Entity Type | Individual
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Provider Name | EMILY ANDERSON PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/20/2021
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 7000 H C KELLEY RD
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City | ORLANDO
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State | FL
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Zip | 32831-2521
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Country | US
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Telephone | 703-408-9293
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Fax |
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Provider Business Mailing Address
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Address Line | 1329 SW 16TH ST RM 2232
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City | GAINESVILLE
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State | FL
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Zip | 32608-1128
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Country | US
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Telephone | 352-559-5051
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Fax | 352-265-8018
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 9113861
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9113861
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License Number State | FL
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