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General NPI Number Information
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NPI Number | 1528893799
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Entity Type | Individual
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Provider Name | GABRIELLA LEOTIE HAY FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 910 OLD CAMP RD STE 210
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City | THE VILLAGES
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State | FL
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Zip | 32162-5605
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Country | US
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Telephone | 352-751-3356
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Fax |
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Provider Business Mailing Address
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Address Line | 11304 SE 67TH CIR
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City | BELLEVIEW
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State | FL
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Zip | 34420-4087
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Country | US
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Telephone | 732-908-0646
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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 | 11034368
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License Number State | FL
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