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General NPI Number Information
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NPI Number | 1104612704
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Entity Type | Individual
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Provider Name | NADIA HOGAN
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Gender | Female
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Dates
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Enumeration Date | 04/18/2025
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 2101 61ST ST W
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City | BRADENTON
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State | FL
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Zip | 34209-5528
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Country | US
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Telephone | 941-667-9070
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Fax | 941-296-8501
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Provider Business Mailing Address
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Address Line | 4411 BEE RIDGE RD # 309
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City | SARASOTA
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State | FL
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Zip | 34233-2514
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Country | US
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Telephone | 941-926-6553
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Fax | 941-296-8501
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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 | APRN11038872
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License Number State | FL
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