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General NPI Number Information
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NPI Number | 1356877625
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Entity Type | Individual
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Provider Name | NATALIE J HOLLIS APRN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2017
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 11401 OLD SAINT AUGUSTINE RD
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City | JACKSONVILLE
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State | FL
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Zip | 32258-1402
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Country | US
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Telephone | 904-260-1818
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Fax | 904-260-4182
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Provider Business Mailing Address
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Address Line | PO BOX 45443
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City | SALT LAKE CITY
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State | UT
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Zip | 84145-0443
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Country | US
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Telephone | 904-202-1032
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Fax | 904-376-4107
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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 | APRN9387187
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License Number State | FL
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