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General NPI Number Information
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NPI Number | 1316806268
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Entity Type | Individual
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Provider Name | IKRAM BERRY GAMAL-ELDIN FNP,RN
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 6767 86TH AVE N
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City | PINELLAS PARK
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State | FL
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Zip | 33782-4597
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Country | US
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Telephone | 727-548-5566
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Fax | 727-548-6644
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Provider Business Mailing Address
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Address Line | 12700 66TH ST APT 1309
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City | LARGO
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State | FL
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Zip | 33773-1732
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Country | US
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Telephone | 727-637-6072
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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 | 11038554
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License Number State | FL
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