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General NPI Number Information
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NPI Number | 1952279101
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Entity Type | Organization
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Legal Business Name | AHPC HEALTH INCORPORATED
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Dates
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Enumeration Date | 10/28/2025
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 263 RIVER HILLS DR STE 3
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8980
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Country | US
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Telephone | 478-290-0677
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Fax | 904-902-8227
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Provider Business Mailing Address
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Address Line | 463688 STATE ROAD 200, STE 1, #364
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City | YULEE
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State | FL
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Zip | 32097
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Country | US
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Telephone | 478-290-0677
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Fax | 904-902-8227
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Authorized Official
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Title or Position | CEO, PRESIDENT
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Name | CRYSTAL CISZEK
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Credential | FNP-C
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Telephone | 478-290-0677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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