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General NPI Number Information
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NPI Number | 1760791107
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Entity Type | Individual
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Provider Name | AMIE NICHOLE PETERSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/04/2010
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | YOUR HEALTH ORG. OF FLORIDA 1301 PLANTATION ISLAND DR. UNIT 303B
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City | ST. AUGUSTINE
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State | FL
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Zip | 32080
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Country | US
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Telephone | 800-491-0909
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Fax | 239-343-9218
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Provider Business Mailing Address
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Address Line | SC HOUSE CALLS INC. 111 DOCTORS CIR.
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City | COLUMBIA
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State | SC
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Zip | 29203
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Country | US
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Telephone | 800-491-0909
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Fax | 239-424-1421
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 2629902
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN2629902
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License Number State | FL
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