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NPI 1598664609

NPI 1598664609 : NP LED HOUSE CALLS LLC : HOLIDAY, FL

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General NPI Number Information
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    NPI Number           |    1598664609
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    Entity Type          |    Organization 
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    Legal Business Name  |    NP LED HOUSE CALLS LLC 
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Dates
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    Enumeration Date     |    11/04/2026
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    Last Update Date     |    11/04/2026
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Provider Practice Location Address
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    Address Line         |    2435 US HIGHWAY 19 STE 232 
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    City                 |    HOLIDAY
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    State                |    FL
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    Zip                  |    34691-3919
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    Country              |    US
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    Telephone            |    727-226-7844
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12120 ROSELAND DR 
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    City                 |    NEW PORT RICHEY
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    State                |    FL
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    Zip                  |    34654-6316
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    Country              |    US
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    Telephone            |    727-226-7844
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     DEBORAH TERESA NICOLO 
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    Credential           |    APRN11001448
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    Telephone            |    727-226-7844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    
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    License Number State |    
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