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General NPI Number Information
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NPI Number | 1497159263
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Entity Type | Individual
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Provider Name | FLORENCE EKENE NWANETY FNP
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Gender | Female
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 6206 N MILITARY HWY STE H
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City | NORFOLK
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State | VA
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Zip | 23518-5447
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Country | US
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Telephone | 757-271-5282
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746871
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City | ATLANTA
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State | GA
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Zip | 30374-6871
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Country | US
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Telephone | 773-352-1515
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Fax | 312-929-0373
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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 | RN2364523
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 344924
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP025846
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024177487
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License Number State | VA
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