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General NPI Number Information
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NPI Number | 1265765119
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Entity Type | Individual
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Provider Name | GINA SIGGIA CNP
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Gender | Female
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Dates
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Enumeration Date | 09/10/2009
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Last Update Date | 11/12/2014
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Provider Practice Location Address
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Address Line | 1929 BRUCE B DOWNS BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9202
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Country | US
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Telephone | 312-472-2485
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 EAGLE TRACE BLVD
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City | PALM HARBOR
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State | FL
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Zip | 34685-3314
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Country | US
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Telephone | 312-420-0561
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 209.006067
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License Number State | IL
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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 | ARNP9390385
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License Number State | FL
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