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General NPI Number Information
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NPI Number | 1275937179
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Entity Type | Individual
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Provider Name | KELLY COX
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Gender | Female
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 1680 THE GREENS WAY STE 200
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-1422
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Country | US
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Telephone | 904-800-7380
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Fax | 904-467-8932
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Provider Business Mailing Address
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Address Line | 1680 THE GREENS WAY STE 200
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City | JACKSONVILLE BEACH
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State | FL
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Zip | 32250-1422
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Country | US
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Telephone | 904-800-7380
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Fax | 904-467-8932
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 9270387
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9270387
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License Number State | FL
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