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General NPI Number Information
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NPI Number | 1093043937
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Entity Type | Individual
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Provider Name | ESTELLE JANE DAVIS HODNETT NP, ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2009
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Last Update Date | 12/04/2009
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Provider Practice Location Address
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Address Line | 4051 PHILIPS HIGHWAY
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City | JACKSONVILLE
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State | FL
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Zip | 32207-7299
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Country | US
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Telephone | 904-737-5220
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Fax | 904-448-6794
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Provider Business Mailing Address
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Address Line | 401 BAY POINT WAY NORTH
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City | JACKSONVILLE
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State | FL
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Zip | 32259-7907
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Country | US
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Telephone | 904-687-3677
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Fax | 904-230-6969
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 783732
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License Number State | FL
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