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General NPI Number Information
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NPI Number | 1598534760
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Entity Type | Individual
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Provider Name | FLORA ROSALIND LOOMIS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 3040 OLDE COVE WAY
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City | NAPLES
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State | FL
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Zip | 34119-9777
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Country | US
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Telephone | 239-231-6544
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 OLDE COVE WAY
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City | NAPLES
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State | FL
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Zip | 34119-9777
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Country | US
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Telephone |
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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 | APRN11030367
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License Number State | FL
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