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General NPI Number Information
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NPI Number | 1265034763
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Entity Type | Individual
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Provider Name | MICHAEL ERIC MUIR
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Gender | Male
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Dates
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Enumeration Date | 11/10/2020
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 915 W MONROE ST STE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32204-1177
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Country | US
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Telephone | 904-384-2240
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Fax | 904-486-2314
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Provider Business Mailing Address
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Address Line | 915 W MONROE ST STE 200
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City | JACKSONVILLE
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State | FL
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Zip | 32204-1177
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Country | US
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Telephone | 904-384-2254
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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 | APRN11010110
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN9342819
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11010110
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License Number State | FL
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