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General NPI Number Information
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NPI Number | 1346974870
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Entity Type | Individual
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Provider Name | KALI AMARA CLARK FNC-C
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Gender | Female
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Dates
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Enumeration Date | 07/11/2022
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 12280 LAKE UNDERHILL RD
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City | ORLANDO
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State | FL
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Zip | 32825-5009
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 DAWNRIDGE CT
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City | BRANDON
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State | FL
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Zip | 33510-2039
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Country | US
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Telephone | 614-806-3719
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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 | 114393-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F07220685
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11021215
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0013257
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AC007852
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License Number State | MD
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0137829
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License Number State | VT
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN10019496
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License Number State | MA
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Taxonomy #8
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN04605
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License Number State | RI
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 356609
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License Number State | NY
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