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General NPI Number Information
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NPI Number | 1366355331
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Entity Type | Individual
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Provider Name | ALLISON EGGERT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 6595 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-3316
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Country | US
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Telephone | 863-593-7804
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Fax |
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Provider Business Mailing Address
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Address Line | 4722 SILKRUN CT
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City | PLANT CITY
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State | FL
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Zip | 33566-1209
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Country | US
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Telephone | 727-366-7436
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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 | 11051131
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License Number State | FL
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