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General NPI Number Information
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NPI Number | 1235850280
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Entity Type | Individual
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Provider Name | MICHELLE JEANETTE HOLT APRN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 10494 NORTHCLIFFE BLVD
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City | SPRING HILL
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State | FL
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Zip | 34608-3656
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Country | US
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Telephone | 352-686-3991
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Fax | 352-666-0393
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Provider Business Mailing Address
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Address Line | 2998 CHAPIN PASS
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City | ODESSA
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State | FL
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Zip | 33556-3890
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Country | US
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Telephone | 727-741-8130
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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 | RN9388714
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11021839
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License Number State | FL
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