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General NPI Number Information
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NPI Number | 1740995265
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Entity Type | Individual
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Provider Name | JAMI L SEAGLE APRN
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Gender | Female
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Dates
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Enumeration Date | 01/18/2023
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Last Update Date | 01/18/2023
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Provider Practice Location Address
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Address Line | 362 HIGHWAY 83 N
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City | DEFUNIAK SPRINGS
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State | FL
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Zip | 32433-3800
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Country | US
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Telephone | 850-892-8015
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Fax |
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Provider Business Mailing Address
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Address Line | 359 SHOEMAKER DR
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City | DEFUNIAK SPRINGS
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State | FL
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Zip | 32433-4047
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Country | US
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Telephone | 850-716-4140
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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 | 11023981
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License Number State | FL
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