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General NPI Number Information
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NPI Number | 1740916949
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Entity Type | Individual
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Provider Name | DESIREE A DOOLAN APRN
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Gender | Female
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Dates
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Enumeration Date | 07/29/2022
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 8246 RIVER COUNTRY DR
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City | WEEKI WACHEE
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State | FL
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Zip | 34607-2101
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Country | US
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Telephone | 352-684-8637
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Fax |
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Provider Business Mailing Address
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Address Line | 13326 BEAUMONT CT
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City | HUDSON
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State | FL
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Zip | 34667-6949
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Country | US
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Telephone | 239-633-5221
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | RN9337405
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11011189
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License Number State | FL
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