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General NPI Number Information
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NPI Number | 1760037105
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Entity Type | Individual
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Provider Name | SHEILA WARUGURU GACHOKA
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Gender | Female
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Dates
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Enumeration Date | 08/02/2019
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Last Update Date | 03/13/2021
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Provider Practice Location Address
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Address Line | 26606 MAGNOLIA BLVD
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City | LUTZ
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State | FL
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Zip | 33559-8545
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Country | US
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Telephone | 813-907-0123
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Fax |
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Provider Business Mailing Address
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Address Line | 3649 30TH AVE N APT 7
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City | ST PETERSBURG
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State | FL
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Zip | 33713-3524
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Country | US
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Telephone | 305-986-7806
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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 | APRN11003016
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License Number State | FL
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