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General NPI Number Information
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NPI Number | 1912305020
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Entity Type | Individual
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Provider Name | KATIE ANNE SHERRILL ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 8320 W SUNRISE BLVD STE 208
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City | PLANTATION
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State | FL
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Zip | 33322-5432
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Country | US
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Telephone | 800-640-3451
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Fax |
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Provider Business Mailing Address
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Address Line | 8931 LAKE DR APT 501
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City | CAPE CANAVERAL
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State | FL
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Zip | 32920-4294
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Country | US
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Telephone | 321-474-3409
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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 | ARNP9219650
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License Number State | FL
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