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General NPI Number Information
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NPI Number | 1356652457
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Entity Type | Individual
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Provider Name | SALLY LYNN FOLLETT APRN
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Gender | Female
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 1301 2ND AVE SW
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City | LARGO
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State | FL
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Zip | 33770-2298
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Country | US
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Telephone | 727-584-7706
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Fax | 727-581-2786
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Provider Business Mailing Address
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Address Line | 1301 2ND AVE SW
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City | LARGO
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State | FL
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Zip | 33770-2298
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Country | US
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Telephone | 727-584-7706
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Fax | 727-581-2786
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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 | APRN2976742
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License Number State | FL
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