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General NPI Number Information
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NPI Number | 1366949018
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Entity Type | Individual
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Provider Name | GUY TREVOR ROCKAFELLOW APRN
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Gender | Male
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Dates
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Enumeration Date | 04/10/2018
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 10238 SW 86TH CIR UNIT 300
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City | OCALA
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State | FL
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Zip | 34481-7625
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Country | US
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Telephone | 352-873-1011
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Fax | 352-873-1017
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Provider Business Mailing Address
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Address Line | 8190 SW 54TH CT
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City | OCALA
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State | FL
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Zip | 34476-3788
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Country | US
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Telephone |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9309659
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN9309659
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN9309659
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License Number State | FL
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