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General NPI Number Information
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NPI Number | 1093664385
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Entity Type | Individual
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Provider Name | CIERRA VANAUKEN-FOSTER
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Gender |
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 30 DEL PRADO BLVD N
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City | CAPE CORAL
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State | FL
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Zip | 33909-2705
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Country | US
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Telephone | 239-829-0099
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Fax |
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Provider Business Mailing Address
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Address Line | 1419 SE 1ST PL
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City | CAPE CORAL
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State | FL
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Zip | 33990-0604
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11045141
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License Number State | FL
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