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General NPI Number Information
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NPI Number | 1134733157
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Entity Type | Individual
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Provider Name | DR. CHRISTINE MARIE MICHEL
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Gender | Female
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 08/18/2023
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Provider Practice Location Address
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Address Line | 4722 SW COLLEGE RD
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City | OCALA
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State | FL
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Zip | 34474-5741
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Country | US
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Telephone | 352-351-0464
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Fax |
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Provider Business Mailing Address
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Address Line | 601 S HARBOUR ISLAND BLVD STE 200
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City | TAMPA
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State | FL
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Zip | 33602-5925
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Country | US
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Telephone | 727-322-3439
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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 | 161404
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License Number State | AK
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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 | APRN11025299
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License Number State | FL
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