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General NPI Number Information
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NPI Number | 1144114828
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Entity Type | Individual
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Provider Name | WILLIAM EDWARD SEWELL APRN, FNP-BC, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 3948 3RD ST S # 165
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City | JACKSONVILLE
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State | FL
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Zip | 32250-5847
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Country | US
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Telephone | 904-684-4795
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Fax | 904-895-6227
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Provider Business Mailing Address
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Address Line | 3948 3RD ST S # 165
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City | JACKSONVILLE
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State | FL
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Zip | 32250-5847
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Country | US
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Telephone | 904-684-4795
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11039931
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License Number State | FL
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