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General NPI Number Information
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NPI Number | 1952106601
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Entity Type | Individual
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Provider Name | ERNESTEEN BESTMAN GILCHRIST APRN
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Gender | Female
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 16020 SW 89TH AVENUE RD
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City | PALMETTO BAY
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State | FL
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Zip | 33157-3572
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Country | US
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Telephone | 763-402-6591
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Fax |
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Provider Business Mailing Address
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Address Line | 16020 SW 89TH AVENUE RD
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City | PALMETTO BAY
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State | FL
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Zip | 33157-3572
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Country | US
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Telephone | 763-402-6591
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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 | 11039202
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License Number State | FL
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