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General NPI Number Information
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NPI Number | 1881166536
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Entity Type | Individual
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Provider Name | ELIZABETH J O'HAGAN ARNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1969 S ALAFAYA TRL UNIT 172
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City | ORLANDO
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State | FL
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Zip | 32828-8732
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Country | US
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Telephone | 941-539-9973
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Fax |
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Provider Business Mailing Address
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Address Line | 13100 COG HILL WAY
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City | ORLANDO
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State | FL
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Zip | 32828-8842
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Country | US
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Telephone | 941-539-9973
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F346251
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11000686
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 101.0134633
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License Number State | VT
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