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General NPI Number Information
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NPI Number | 1518847748
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Entity Type | Individual
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Provider Name | IVY DEFELIX RN
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 701 6TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4814
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Country | US
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Telephone | 727-823-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 2481 COACH WHIP TER
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City | CLEARWATER
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State | FL
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Zip | 33765-1802
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN9228877
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License Number State | FL
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