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General NPI Number Information
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NPI Number | 1831559202
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Entity Type | Individual
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Provider Name | SHERLY POULOSE ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 689 E ALTAMONTE DR
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4801
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Country | US
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Telephone | 407-767-7262
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Fax | 407-775-5002
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Provider Business Mailing Address
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Address Line | 10000 W COLONIAL DR STE 484
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City | OCOEE
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State | FL
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Zip | 34761-3436
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Country | US
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Telephone | 321-841-6444
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Fax | 407-650-1307
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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 | ARNP9269900
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9269900
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License Number State | FL
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