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General NPI Number Information
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NPI Number | 1093603078
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Entity Type | Individual
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Provider Name | NICOLE TOTTEN APRN
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Gender |
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 47 SW 17TH ST
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City | OCALA
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State | FL
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Zip | 34471-8104
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Country | US
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Telephone | 407-592-8128
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Fax |
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Provider Business Mailing Address
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Address Line | 17109 HEARTWOOD LOOP
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City | WINTER GARDEN
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State | FL
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Zip | 34787-9690
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Country | US
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Telephone | 407-592-8128
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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 | 11040212
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License Number State | FL
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