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General NPI Number Information
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NPI Number | 1962940593
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Entity Type | Individual
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Provider Name | MRS. ALYSSA GEORGE
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Gender | Female
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Dates
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Enumeration Date | 02/02/2017
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 601 5TH ST S # C740
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City | ST PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 727-329-5400
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Fax | 727-329-5401
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Provider Business Mailing Address
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Address Line | PO BOX 76479
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City | ST PETERSBURG
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State | FL
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Zip | 33734-6479
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Country | US
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Telephone |
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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 | ARNP 9290099
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License Number State | FL
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