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General NPI Number Information
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NPI Number | 1699779439
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Entity Type | Individual
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Provider Name | THERESE M. HULME ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 1839 CENTRAL AVENUE
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City | ST. PETERSBURG
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State | FL
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Zip | 33713
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Country | US
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Telephone | 727-322-1054
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Fax | 727-322-2725
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Provider Business Mailing Address
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Address Line | 14499 N DALE MABRY HWY STE 180-S
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City | TAMPA
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State | FL
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Zip | 33618-2078
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Country | US
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Telephone | 813-374-2406
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Fax | 813-374-2407
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 1738562
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License Number State | FL
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