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General NPI Number Information
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NPI Number | 1558948455
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Entity Type | Organization
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Legal Business Name | ALL FAMILY WALK-IN CLINIC LLC
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 10220 YALE AVE
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City | WEEKI WACHEE
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State | FL
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Zip | 34613-8375
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Country | US
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Telephone | 352-600-8822
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Fax | 352-600-8883
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Provider Business Mailing Address
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Address Line | 10220 YALE AVE
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City | WEEKI WACHEE
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State | FL
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Zip | 34613-8375
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Country | US
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Telephone | 352-600-8822
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Fax | 352-600-8883
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | KELLY GORDON
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Credential | APRN
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Telephone | 352-600-8822
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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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