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General NPI Number Information
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NPI Number | 1093843948
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Entity Type | Individual
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Provider Name | ELOISA CRISTIAN ABISLAIMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 11/09/2018
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Provider Practice Location Address
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Address Line | 16554 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33618-1325
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Country | US
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Telephone | 813-631-1010
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Fax | 813-971-1804
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Provider Business Mailing Address
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Address Line | 16366 ASHINGTON PARK DR
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City | TAMPA
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State | FL
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Zip | 33647-2639
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Country | US
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Telephone | 813-459-0926
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Fax | 813-388-4567
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1642602
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License Number State | FL
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