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General NPI Number Information
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NPI Number | 1023700879
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Entity Type | Individual
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Provider Name | ANNA VILLASUSO APRN
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Gender | Female
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 10521 SW 88TH ST STE E105
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City | MIAMI
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State | FL
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Zip | 33176-1554
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Country | US
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Telephone | 305-934-8460
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Fax |
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Provider Business Mailing Address
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Address Line | 11990 SW 118TH ST
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City | MIAMI
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State | FL
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Zip | 33186-5110
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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 | APRN11023810
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN39479216
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License Number State | FL
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