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General NPI Number Information
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NPI Number | 1558973511
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Entity Type | Individual
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Provider Name | CASEY SHEA CHAPMAN FNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 3780 NW 83RD ST
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City | GAINESVILLE
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State | FL
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Zip | 32606-5603
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Country | US
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Telephone | 352-331-3332
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Fax |
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Provider Business Mailing Address
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Address Line | 8526 SE 12TH CT
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City | OCALA
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State | FL
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Zip | 34480-9321
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Country | US
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Telephone | 352-494-8256
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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 | F02200608
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License Number State | FL
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