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General NPI Number Information
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NPI Number | 1215748702
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Entity Type | Individual
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Provider Name | ROSALEE PEREZ-TEEL APRN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 3574 US 1 S
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-6466
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Country | US
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Telephone | 904-417-7100
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Fax | 904-824-0724
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Provider Business Mailing Address
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Address Line | PO BOX 758
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City | HOLLISTER
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State | FL
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Zip | 32147-0758
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Country | US
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Telephone | 386-546-3190
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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 | RN9561959
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11039726
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License Number State | FL
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