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General NPI Number Information
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NPI Number | 1467680991
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Entity Type | Individual
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Provider Name | NADINE KING FNP-C APRN
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Gender | Female
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 530 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33953-2125
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Country | US
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Telephone | 941-391-5296
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Fax | 941-391-5297
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Provider Business Mailing Address
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Address Line | 530 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33953-2125
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Country | US
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Telephone | 194-139-1529
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Fax | 239-599-2612
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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 | R 136020-2
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9427263
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License Number State | FL
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