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General NPI Number Information
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NPI Number | 1801422969
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Entity Type | Individual
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Provider Name | DEBORAH NICASIO DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 408 7TH ST W
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City | PALMETTO
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State | FL
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Zip | 34221-5209
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Country | US
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Telephone | 941-803-7939
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Fax | 877-651-1335
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Provider Business Mailing Address
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Address Line | 2105 N NEBRASKA AVE
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City | TAMPA
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State | FL
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Zip | 33602-2558
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Country | US
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Telephone | 941-300-4440
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Fax | 941-404-1760
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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 | 11007573
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9391301
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License Number State | FL
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