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General NPI Number Information
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NPI Number | 1689335168
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Entity Type | Individual
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Provider Name | ABIGAIL LOUISE TEANO
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Gender | Female
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Dates
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Enumeration Date | 01/06/2022
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 807 CHILDRENS WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8426
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Country | US
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Telephone | 904-697-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 5923 SAXONY WOODS LN
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City | JACKSONVILLE
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State | FL
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Zip | 32211-7549
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Country | US
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Telephone | 352-672-3911
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11017370
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN9384181
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License Number State | FL
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