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General NPI Number Information
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NPI Number | 1114766623
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Entity Type | Individual
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Provider Name | ANDREW HODULIK APRN
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Gender | Male
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 14551 HOPE CENTER LOOP STE 200
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City | FORT MYERS
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State | FL
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Zip | 33912-4705
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Country | US
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Telephone | 239-264-7026
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Fax | 239-567-3679
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Provider Business Mailing Address
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Address Line | PO BOX 749495
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City | ATLANTA
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State | GA
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Zip | 30374-9495
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Country | US
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Telephone | 855-963-2100
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Fax | 813-321-1296
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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 | APRN11033158
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | RN9494162
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11033158
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License Number State | FL
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