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General NPI Number Information
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NPI Number | 1235804469
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Entity Type | Individual
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Provider Name | STEPHANY ELIZABETH BAIZE APRN
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Gender | Female
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Dates
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Enumeration Date | 08/10/2021
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Last Update Date | 01/13/2022
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Provider Practice Location Address
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Address Line | 3090 CARUSO CT STE 50
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City | ORLANDO
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State | FL
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Zip | 32806-8510
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Country | US
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Telephone | 321-689-8021
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Fax |
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Provider Business Mailing Address
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Address Line | 10101 COLT LN
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City | WINTER GARDEN
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State | FL
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Zip | 34787-9009
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Country | US
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Telephone | 321-689-8021
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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 | APRN11014641
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11014641
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License Number State | FL
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