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General NPI Number Information
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NPI Number | 1639571508
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Entity Type | Individual
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Provider Name | PATIENCE YOLANDA DELANCY APRN
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Gender | Female
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | NAVAL HOSPITAL JACKSONVILLE
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City | JACKSONVILLE
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State | FL
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Zip | 32214-2317
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Country | US
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Telephone | 904-542-9241
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Fax |
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Provider Business Mailing Address
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Address Line | 2303 NUTHATCH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34771-8419
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Country | US
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Telephone | 850-980-6752
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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 | 9245200
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License Number State | FL
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