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General NPI Number Information
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NPI Number | 1790604676
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Entity Type | Individual
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Provider Name | ELIZABETH GILL APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 1255 STATE ROAD 60 E STE 100
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City | LAKE WALES
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State | FL
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Zip | 33853-4310
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Country | US
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Telephone | 863-422-5355
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Fax |
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Provider Business Mailing Address
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Address Line | 3512 PINE TREE LOOP
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City | HAINES CITY
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State | FL
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Zip | 33844-9299
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Country | US
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Telephone | 863-632-9049
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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 | 11045523
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License Number State | FL
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