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General NPI Number Information
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NPI Number | 1376296814
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Entity Type | Individual
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Provider Name | SUSAN DURFEY APRN
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Gender | Female
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 07/26/2024
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Provider Practice Location Address
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Address Line | 11479 CORTEZ BLVD
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City | BROOKSVILLE
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State | FL
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Zip | 34613-7367
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Country | US
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Telephone | 352-597-3511
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Fax | 352-592-1155
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Provider Business Mailing Address
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Address Line | 5400 PINEHURST DR
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City | SPRING HILL
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State | FL
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Zip | 34606-3833
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Country | US
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Telephone | 352-277-5348
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Fax | 352-606-2857
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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 | APRN11017057
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License Number State | FL
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