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General NPI Number Information
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NPI Number | 1316533367
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Entity Type | Individual
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Provider Name | SAMIA AKKOUCHE APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 16271 BASS RD
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City | FORT MYERS
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State | FL
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Zip | 33908-3616
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Country | US
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Telephone | 239-343-7100
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Fax | 239-468-7924
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-7100
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Fax | 239-468-7924
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11010446
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11010446
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11010446
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License Number State | FL
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