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General NPI Number Information
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NPI Number | 1215659545
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Entity Type | Individual
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Provider Name | CHELSEY ELAINE SUNICO SOMARRIBA APRN
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 2650 NW 2ND ST # 100
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City | OCALA
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State | FL
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Zip | 34475-6234
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Country | US
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Telephone | 352-237-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 16036 SW 87TH TER
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City | MIAMI
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State | FL
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Zip | 33193-5297
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Country | US
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Telephone | 305-213-7576
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 11005804
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License Number State | FL
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