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General NPI Number Information
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NPI Number | 1831049501
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Entity Type | Individual
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Provider Name | KATHLEEN DEMETRIOU
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 10011 SEMINOLE BLVD
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City | SEMINOLE
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State | FL
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Zip | 33772-2539
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Country | US
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Telephone | 727-393-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 14541 BAY HILLS DR
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City | LARGO
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State | FL
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Zip | 33774-5042
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Country | US
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Telephone | 715-559-9298
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 11045165
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License Number State | FL
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