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General NPI Number Information
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NPI Number | 1215890462
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Entity Type | Individual
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Provider Name | DENISHA DEANNA RENEE ANDERSON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 19321 EAGLE CREEK LN
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City | TAMPA
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State | FL
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Zip | 33647-3852
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Country | US
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Telephone | 210-875-8601
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Fax | 210-875-8601
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Provider Business Mailing Address
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Address Line | 19321 EAGLE CREEK LN
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City | TAMPA
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State | FL
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Zip | 33647-3852
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Country | US
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Telephone | 210-875-8601
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Fax | 210-875-8601
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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 | 11044048
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License Number State | FL
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