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General NPI Number Information
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NPI Number | 1578144457
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Entity Type | Individual
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Provider Name | STEPHANIE MCCLOUD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/21/2021
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 2415 SW COLLEGE RD
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City | OCALA
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State | FL
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Zip | 34471-1664
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Country | US
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Telephone | 352-237-3536
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Fax |
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Provider Business Mailing Address
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Address Line | 1960 TRAVERSE WAY
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City | KISSIMMEE
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State | FL
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Zip | 34746-2360
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Country | US
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Telephone | 267-577-0056
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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 | F04210205
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11019028
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License Number State | FL
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