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General NPI Number Information
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NPI Number | 1831291152
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Entity Type | Individual
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Provider Name | VICKI DIANE JASMIN-SLATTERY ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 5818 CENTRE ST
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City | MELROSE
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State | FL
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Zip | 32666-6207
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Country | US
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Telephone | 352-475-3792
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Fax | 352-475-3794
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Provider Business Mailing Address
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Address Line | P. O. BOX 262
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City | GRANDIN
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State | FL
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Zip | 32138
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Country | US
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Telephone | 386-916-1791
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1317232
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License Number State | FL
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