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General NPI Number Information
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NPI Number | 1154159937
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Entity Type | Individual
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Provider Name | EMILY CIPPONERI
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Gender | Female
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3008
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Country | US
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Telephone | 352-273-6815
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Fax |
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Provider Business Mailing Address
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Address Line | 13703 NW 9TH RD
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City | NEWBERRY
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State | FL
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Zip | 32669-8038
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Country | US
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Telephone | 586-863-3149
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9488748
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License Number State | FL
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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 | 11034326
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11034326
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License Number State | FL
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