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General NPI Number Information
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NPI Number | 1134425986
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Entity Type | Individual
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Provider Name | KAMEKO HAZLEY MCGUIRE DNP, PMHNP-BC, NP-C
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Gender | Female
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 124 E MIRACLE STRIP PKWY STE 202
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City | MARY ESTHER
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State | FL
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Zip | 32569-1990
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Country | US
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Telephone | 850-226-8096
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Fax |
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Provider Business Mailing Address
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Address Line | 124 E MIRACLE STRIP PKWY STE 202
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City | MARY ESTHER
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State | FL
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Zip | 32569-1990
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Country | US
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Telephone | 850-226-8096
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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 | 827112
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP122701
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP122701
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9246434
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License Number State | FL
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