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General NPI Number Information
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NPI Number | 1891745055
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Entity Type | Individual
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Provider Name | GAIL MARIE EZELL MSN,RN,CPNP,ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 357 WEKIVA SPRINGS RD
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City | LONGWOOD
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State | FL
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Zip | 32779-3607
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Country | US
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Telephone | 321-280-5867
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Fax | 407-774-1877
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Provider Business Mailing Address
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Address Line | 357 WEKIVA SPRINGS RD
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City | LONGWOOD
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State | FL
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Zip | 32779-3607
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Country | US
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Telephone | 321-280-5867
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Fax | 407-774-1877
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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 | ARNP9328363
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License Number State | FL
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