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General NPI Number Information
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NPI Number | 1265043020
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Entity Type | Individual
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Provider Name | KATLYN MEGAN AGOSTA MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 6488 N US HIGHWAY 41
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City | APOLLO BEACH
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State | FL
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Zip | 33572-1804
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Country | US
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Telephone | 813-844-7500
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Fax | 813-844-1141
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Provider Business Mailing Address
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Address Line | PO BOX 1289
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City | TAMPA
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State | FL
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Zip | 33601-1289
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Country | US
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Telephone | 813-844-7500
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Fax | 813-844-1141
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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 | APRN11029713
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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 | 1006634
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License Number State | TX
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