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General NPI Number Information
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NPI Number | 1811793227
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Entity Type | Individual
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Provider Name | LETITIA TEMPLE RN
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Gender | Female
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 9304 CAMDEN FIELD PKWY
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City | RIVERVIEW
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State | FL
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Zip | 33578-0520
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Country | US
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Telephone | 813-533-2999
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Fax | 813-533-2966
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Provider Business Mailing Address
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Address Line | 4912 BARNSTEAD DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-2125
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Country | US
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Telephone | 813-833-2528
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | RN9533086
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License Number State | FL
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