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General NPI Number Information
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NPI Number | 1629281811
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Entity Type | Individual
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Provider Name | ANDREA D STORRIE C.P.N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 12/19/2007
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Provider Practice Location Address
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Address Line | 2776 CLEVELAND AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-5864
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Country | US
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Telephone | 239-334-5606
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 800-700-0278
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Fax | 251-666-8398
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2205532
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License Number State | FL
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