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General NPI Number Information
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NPI Number | 1194360628
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Entity Type | Individual
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Provider Name | GABRIELLA ARTLIP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2019
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Last Update Date | 11/07/2019
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Provider Practice Location Address
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Address Line | 2700 HEALING WAY STE 300
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-5453
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Country | US
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Telephone | 813-333-1186
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Fax |
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Provider Business Mailing Address
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Address Line | 1585 LONG SPUR APT 105
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City | ODESSA
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State | FL
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Zip | 33556-4344
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Country | US
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Telephone |
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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 | 9438689
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License Number State | FL
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