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General NPI Number Information
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NPI Number | 1124536438
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Entity Type | Individual
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Provider Name | STEPHANIE HIRES MALIK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/21/2018
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 230 HARBOR VILLAGE LN
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City | APOLLO BEACH
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State | FL
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Zip | 33572-3424
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Country | US
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Telephone | 813-645-2003
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Fax |
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Provider Business Mailing Address
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Address Line | 8676 CANYON CREEK TRL
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City | PARRISH
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State | FL
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Zip | 34219-1367
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Country | US
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Telephone | 610-304-3169
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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 | SP018398
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11030403
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License Number State | FL
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