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General NPI Number Information
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NPI Number | 1386096436
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Entity Type | Individual
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Provider Name | COURTNEY LEA TRUAX NP, DNP
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 03/30/2025
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Provider Practice Location Address
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Address Line | 100 WAILEA IKE DR
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City | WAILEA
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State | HI
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Zip | 96753-9514
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Country | US
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Telephone | 808-281-6580
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Fax |
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Provider Business Mailing Address
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Address Line | 5100 N 12TH AVE STE 101
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City | PENSACOLA
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State | FL
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Zip | 32504-8919
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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 | ARNP9413394
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License Number State | FL
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