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General NPI Number Information
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NPI Number | 1124819206
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Entity Type | Individual
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Provider Name | GEARLYN MICHELLE STAGGS RN
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Gender | Female
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 350 PENSACOLA BEACH RD
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City | GULF BREEZE
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State | FL
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Zip | 32561-4815
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Country | US
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Telephone | 850-934-0790
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Fax | 850-934-0790
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Provider Business Mailing Address
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Address Line | 8309 VERANO ST
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City | NAVARRE
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State | FL
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Zip | 32566-6327
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Country | US
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Telephone | 850-533-2855
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Fax | 850-533-2855
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 9558108
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 9558108
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License Number State | FL
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