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General NPI Number Information
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NPI Number | 1699301184
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Entity Type | Individual
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Provider Name | KERRY DAWN MCDONALD FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/17/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 3615 W HAMILTON AVE SUITE 1
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City | TAMPA
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State | FL
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Zip | 33614
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Country | US
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Telephone | 813-977-0281
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Fax | 813-977-0536
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Provider Business Mailing Address
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Address Line | 2915 BIRCHCREEK DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-7371
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Country | US
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Telephone | 813-476-1404
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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 | APRN11006626
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN11006626
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License Number State | FL
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