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General NPI Number Information
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NPI Number | 1275308942
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Entity Type | Individual
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Provider Name | NAVARRE MEADOWS HAMILTON APRN
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Gender | Female
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 3001 W DR MARTIN LUTHER KING JR BLVD
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City | TAMPA
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State | FL
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Zip | 33607-6307
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Country | US
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Telephone | 813-554-8093
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Fax |
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Provider Business Mailing Address
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Address Line | 1614 W ORANGECREST AVE
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City | PALM HARBOR
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State | FL
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Zip | 34683-3954
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Country | US
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Telephone |
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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 | 11029134
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License Number State | FL
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