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General NPI Number Information
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NPI Number | 1699631341
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Entity Type | Organization
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Legal Business Name | STARS & STRIPES NEXUS SERVICE
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 1935 LYNN RIVER DR
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City | DELTONA
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State | FL
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Zip | 32738-3820
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Country | US
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Telephone | 386-378-2917
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 740057
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City | ORANGE CITY
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State | FL
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Zip | 32774-0057
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Country | US
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Telephone | 386-378-2917
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALICIA DEE HULSIZER
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Credential | FNP
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Telephone | 912-271-8057
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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 |
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License Number State |
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