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General NPI Number Information
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NPI Number | 1700268042
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Entity Type | Individual
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Provider Name | SHERRY HOUSLEY APN
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Gender | Female
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 09/09/2024
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Provider Practice Location Address
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Address Line | 1185 DUNLAWTON AVE STE 102
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City | PORT ORANGE
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State | FL
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Zip | 32127-2906
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Country | US
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Telephone | 386-760-6601
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Fax | 386-222-0769
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Provider Business Mailing Address
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Address Line | 15280 NW 79TH CT STE 200
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5873
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Country | US
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Telephone | 305-558-3724
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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 | A004368
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11017707
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License Number State | FL
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