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General NPI Number Information
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NPI Number | 1285789982
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Entity Type | Individual
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Provider Name | CECILIA M CORRADO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 11291 COUNTY LINE RD
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City | SPRING HILL
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State | FL
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Zip | 34609-5616
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Country | US
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Telephone | 321-917-2042
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Fax | 334-560-1469
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Provider Business Mailing Address
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Address Line | 3830 S HIGHWAY A1A STE 4 PMB 139
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City | MELBOURNE BEACH
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State | FL
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Zip | 32951-3159
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Country | US
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Telephone | 321-917-2042
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Fax | 334-560-1469
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | ARNP9192087
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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 | 9192087
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License Number State | FL
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