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General NPI Number Information
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NPI Number | 1316810468
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Entity Type | Individual
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Provider Name | STEVIE SLATER APRN
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 1009 MAITLAND CENTER COMMONS BLVD STE 213
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City | MAITLAND
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State | FL
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Zip | 32751-7270
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Country | US
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Telephone | 855-479-4217
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8209
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City | VIENNA
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State | VA
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Zip | 22183-2058
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN11040446
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License Number State | FL
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