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General NPI Number Information
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NPI Number | 1902447394
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Entity Type | Individual
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Provider Name | KAYLA CHESSER-MURRAY APRN
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Gender | Female
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Dates
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Enumeration Date | 10/07/2019
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Last Update Date | 10/07/2019
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Provider Practice Location Address
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Address Line | 61 MEMORIAL MEDICAL PKWY
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City | PALM COAST
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State | FL
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Zip | 32164-5981
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Country | US
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Telephone | 386-586-1995
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Fax |
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Provider Business Mailing Address
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Address Line | 82 PERGOLA PL
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City | ORMOND BEACH
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State | FL
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Zip | 32174-1059
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Country | US
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Telephone | 904-536-9829
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11004412
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License Number State | FL
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