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General NPI Number Information
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NPI Number | 1750979761
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Entity Type | Individual
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Provider Name | ELIZABETH COBIAN MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/05/2021
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 100 WHETSTONE PL STE 206
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City | ST AUGUSTINE
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State | FL
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Zip | 32086-5775
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Country | US
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Telephone | 904-429-9892
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Fax | 904-217-7631
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Provider Business Mailing Address
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Address Line | 3016 FORT CAROLINE CT
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32092-2435
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Country | US
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Telephone | 321-947-9961
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11010897
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License Number State | FL
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