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General NPI Number Information
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NPI Number | 1770066961
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Entity Type | Individual
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Provider Name | SANDRA PURCELL MSN, RN CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1600 SW ARCHER RD
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City | GAINESVILLE
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State | FL
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Zip | 32610-3003
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Country | US
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Telephone | 352-273-8379
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Fax | 352-294-8098
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Provider Business Mailing Address
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Address Line | 30 SHATTUCK RD UNIT 4212
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City | ANDOVER
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State | MA
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Zip | 01810-2481
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Country | US
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Telephone | 413-265-5282
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95032513
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 7849
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | APRN11043110
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | RN264027
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License Number State | MA
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