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General NPI Number Information
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NPI Number | 1982344370
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Entity Type | Individual
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Provider Name | SHERRY LYNN CLEVELAND APRN
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Gender | Female
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Dates
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Enumeration Date | 04/01/2022
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 7614 JACQUE RD STE A
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City | HUDSON
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State | FL
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Zip | 34667-7195
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Country | US
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Telephone | 727-862-8548
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 CR 738
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City | WEBSTER
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State | FL
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Zip | 33597-5513
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Country | US
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Telephone | 352-206-3307
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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 | APRN11018905
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License Number State | FL
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