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General NPI Number Information
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NPI Number | 1457623407
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Entity Type | Individual
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Provider Name | REBECCA DENISE MCALLISTER ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 9832 US HIGHWAY 441 STE 101
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City | LEESBURG
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State | FL
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Zip | 34788-3984
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Country | US
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Telephone | 352-787-3341
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Fax | 352-787-7491
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Provider Business Mailing Address
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Address Line | PO BOX 102222 ATTN: CREDENTIAL DEPT
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City | ATLANTA
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State | GA
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Zip | 30368-2222
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Country | US
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Telephone | 727-216-1141
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Fax | 727-796-6459
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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 | ARNP1740292
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 364SX0200X
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Taxonomy Name | Oncology Clinical Nurse Specialist
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License Number | APRN1740292
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License Number State | FL
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