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General NPI Number Information
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NPI Number | 1013564889
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Entity Type | Individual
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Provider Name | LETICIA AQUINO ROSADO APRN
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Gender | Female
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 07/11/2024
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Provider Practice Location Address
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Address Line | 3660 CENTRAL AVE STE 9
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City | FORT MYERS
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State | FL
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Zip | 33901-8258
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Country | US
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Telephone | 239-245-7171
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Fax | 239-245-7115
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Provider Business Mailing Address
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Address Line | 4903 BANNING ST
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City | LEHIGH ACRES
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State | FL
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Zip | 33971-6565
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Country | US
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Telephone | 239-285-8220
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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 | APRN11002931
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License Number State | FL
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