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General NPI Number Information
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NPI Number | 1346681301
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Entity Type | Individual
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Provider Name | NANCY MARIE RODECAP ANP
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Gender | Female
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 2665 N ATLANTIC AVE # 343
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City | DAYTONA BEACH
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State | FL
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Zip | 32118-3205
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Country | US
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Telephone | 386-424-1584
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Fax | 386-410-4800
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Provider Business Mailing Address
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Address Line | 2665 N ATLANTIC AVE # 343
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City | DAYTONA BEACH
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State | FL
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Zip | 32118-3205
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Country | US
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Telephone | 386-481-7836
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Fax | 332-279-4811
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11004178
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License Number State | FL
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