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General NPI Number Information
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NPI Number | 1558745448
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Entity Type | Individual
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Provider Name | DONNA LYNN BLEDSOE ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 601 5TH ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-767-8480
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Fax |
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Provider Business Mailing Address
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Address Line | 1959 OVERVIEW DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-4106
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Country | US
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Telephone | 727-235-8654
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9165354
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP9165354
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License Number State | FL
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