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General NPI Number Information
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NPI Number | 1245015692
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Entity Type | Individual
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Provider Name | ELIZABETH ASHLEY MEARS APRN
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Gender | Female
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Dates
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Enumeration Date | 08/25/2023
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 621 W BALDWIN RD STE A
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City | PANAMA CITY
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State | FL
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Zip | 32405-3364
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Country | US
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Telephone | 850-747-3661
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Fax |
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Provider Business Mailing Address
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Address Line | 17304 NE HANNA TOWER RD
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City | ALTHA
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State | FL
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Zip | 32421-3702
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Country | US
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Telephone | 850-718-7694
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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 | 11028289
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License Number State | FL
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