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General NPI Number Information
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NPI Number | 1487355822
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Entity Type | Individual
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Provider Name | ABIGAIL TIODIN VANCAMPENHOUT APNP, FNP-BC, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 2095 US HIGHWAY 1 S
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-6000
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Country | US
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Telephone | 866-765-2684
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Fax |
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Provider Business Mailing Address
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Address Line | 2095 US HIGHWAY 1 S
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32086-6000
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Country | US
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Telephone | 414-391-1424
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13682-33
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License Number State | WI
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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 | APRN11040590
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 170690-30
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License Number State | WI
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