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General NPI Number Information
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NPI Number | 1588434237
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Entity Type | Individual
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Provider Name | STORMIE OLIVER APRN
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Gender | Female
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 3800 S OCEAN DR STE 209
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2915
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Country | US
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Telephone | 800-226-8874
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Fax |
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Provider Business Mailing Address
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Address Line | 1489 JOSEPH CIR
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City | GULF BREEZE
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State | FL
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Zip | 32563-8100
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Country | US
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Telephone | 850-499-8914
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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 | APRN11027604
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License Number State | FL
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