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General NPI Number Information
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NPI Number | 1346357845
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Entity Type | Individual
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Provider Name | VICTORRIA F RUSSELL PCCNP
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Gender | Female
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 601 E ROLLINS ST
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City | ORLANDO
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State | FL
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Zip | 32803-1248
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Country | US
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Telephone | 407-975-0410
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Fax | 407-975-0411
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Provider Business Mailing Address
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Address Line | 601 E ROLLINS ST
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City | ORLANDO
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State | FL
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Zip | 32803-1248
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Country | US
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Telephone | 407-975-0410
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Fax | 407-975-0411
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | FNP13798
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN9473215
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 727103
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | APRN9473215
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | FNP13798
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License Number State | CA
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