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General NPI Number Information
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NPI Number | 1033961453
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Entity Type | Individual
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Provider Name | RAFAEL ANGEL PENA GARCIA APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 12651 WHITEHALL DR
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City | FORT MYERS
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State | FL
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Zip | 33907-3626
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Country | US
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Telephone | 239-424-2030
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Fax | 239-343-4117
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-343-6202
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Fax | 239-343-4159
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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 | APRN11032020
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License Number State | FL
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