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General NPI Number Information
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NPI Number | 1174393417
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Entity Type | Individual
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Provider Name | HANA MARIE GRIFFIN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 2100 SE 17TH ST STE 901
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City | OCALA
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State | FL
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Zip | 34471-4183
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Country | US
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Telephone | 352-229-2308
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Fax | 352-236-5461
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Provider Business Mailing Address
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Address Line | 1809 SE 37TH PL
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City | OCALA
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State | FL
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Zip | 34471-6755
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Country | US
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Telephone | 352-229-2308
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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 | F06231562
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License Number State | FL
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