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General NPI Number Information
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NPI Number | 1033020243
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Entity Type | Individual
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Provider Name | ALISSA RENAE GODINEZ APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 13650 METROPOLIS AVE STE 101
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City | FORT MYERS
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State | FL
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Zip | 33912-4375
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Country | US
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Telephone | 239-789-6082
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Fax |
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Provider Business Mailing Address
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Address Line | 15876 MULRION BLVD
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City | PUNTA GORDA
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State | FL
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Zip | 33982-6172
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Country | US
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Telephone | 239-789-6082
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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 | APRN11050960
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License Number State | FL
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