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General NPI Number Information
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NPI Number | 1588131650
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Entity Type | Individual
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Provider Name | KILEY O'BRIEN FISHER ARNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/26/2018
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 180 PATRICIA AVE
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City | DUNEDIN
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State | FL
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Zip | 34698-8103
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Country | US
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Telephone | 727-733-4193
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Fax | 813-635-2638
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Provider Business Mailing Address
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Address Line | 180 PATRICIA AVE
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City | DUNEDIN
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State | FL
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Zip | 34698-8103
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Country | US
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Telephone | 727-733-4193
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Fax | 813-635-2638
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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 | 9376813
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License Number State | FL
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