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General NPI Number Information
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NPI Number | 1508681594
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Entity Type | Organization
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Legal Business Name | NP SERVICES
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 5360 GLOVER LN
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City | MILTON
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State | FL
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Zip | 32570-4189
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Country | US
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Telephone | 850-626-9225
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Fax |
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Provider Business Mailing Address
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Address Line | 5931 PARSONAGE CIR
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City | MILTON
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State | FL
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Zip | 32570-8927
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Country | US
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Telephone | 850-384-5373
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANGELO MARCUS MISHIO
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Credential | ARNP
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Telephone | 850-384-5373
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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 |
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License Number State |
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