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General NPI Number Information
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NPI Number | 1811343791
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Entity Type | Individual
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Provider Name | MRS. NATASHA JNO BAPTISTE
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Gender | Female
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 493 PROSPERITY LAKE DR
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-5045
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Country | US
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Telephone | 904-824-5437
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Fax | 904-824-7575
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Provider Business Mailing Address
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Address Line | 589 ONATE CIR
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32095-6645
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Country | US
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Telephone | 954-562-1175
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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 | 95003847
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11025333
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License Number State | FL
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