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General NPI Number Information
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NPI Number | 1306519962
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Entity Type | Organization
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Legal Business Name | THRIVE FAMILY PRACTICE PLLC
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Dates
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Enumeration Date | 07/29/2021
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 19455 SHUMARD OAK DR UNIT 105
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City | LAND O LAKES
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State | FL
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Zip | 34638-7257
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Country | US
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Telephone | 813-751-5074
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Fax |
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Provider Business Mailing Address
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Address Line | 10724 BURNING BUSH TER
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City | LAND O LAKES
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State | FL
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Zip | 34638-6883
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Country | US
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Telephone | 813-751-5074
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA TRNKA-STONE
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Credential | APRN-DNP
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Telephone | 813-751-5074
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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