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General NPI Number Information
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NPI Number | 1861212607
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Entity Type | Individual
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Provider Name | AMBER LEE STEWART APRN
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Gender | Female
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 311 NOLAND DR
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City | BRANDON
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State | FL
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Zip | 33511-5719
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Country | US
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Telephone | 813-654-8100
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Fax |
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Provider Business Mailing Address
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Address Line | 4870 BAY HERON PL APT 305
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City | TAMPA
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State | FL
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Zip | 33616-2922
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Country | US
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Telephone | 386-295-4113
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11035973
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License Number State | FL
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