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General NPI Number Information
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NPI Number | 1487754073
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Entity Type | Individual
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Provider Name | HOPE E MADDIX APRN
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Gender | Female
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Dates
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Enumeration Date | 09/23/2006
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 29320 US HIGHWAY 27
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City | LEESBURG
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State | FL
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Zip | 34748-8227
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Country | US
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Telephone | 352-360-0400
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Fax | 352-360-0404
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Provider Business Mailing Address
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Address Line | 8212 TREASURE ISLAND RD
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City | LEESBURG
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State | FL
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Zip | 34788-9200
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Country | US
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Telephone | 352-552-7726
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Fax | 352-326-2911
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9169868
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License Number State | FL
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