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General NPI Number Information
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NPI Number | 1104682350
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Entity Type | Individual
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Provider Name | GUILLERMO OJEDA NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 01/25/2026
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Provider Practice Location Address
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Address Line | 1500 COLONIAL BLVD STE 226
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City | FORT MYERS
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State | FL
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Zip | 33907-1026
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Country | US
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Telephone | 329-502-4331
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Fax | 239-893-1070
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Provider Business Mailing Address
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Address Line | 12040 SW 185TH TER
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City | MIAMI
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State | FL
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Zip | 33177-3225
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Country | US
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Telephone | 786-539-9830
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11031528
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License Number State | FL
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