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General NPI Number Information
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NPI Number | 1114752714
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Entity Type | Individual
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Provider Name | CORY HENSLEY APRN
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Gender | Female
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Dates
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Enumeration Date | 09/04/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 38240 DAUGHTERY RD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33540-1367
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Country | US
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Telephone | 813-788-3582
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Fax | 813-780-6707
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Provider Business Mailing Address
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Address Line | 14122 JENNIFER WAY
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City | DADE CITY
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State | FL
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Zip | 33525-7778
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Country | US
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Telephone | 813-447-6018
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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 | APRN11033771
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License Number State | FL
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