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General NPI Number Information
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NPI Number | 1164316394
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Entity Type | Organization
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Legal Business Name | NARGIZA AYUPOVA PLLC
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 598 STERTHAUS DR
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City | ORMOND BEACH
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State | FL
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Zip | 32174-5128
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Country | US
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Telephone | 386-886-4433
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Fax | 949-864-3080
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Provider Business Mailing Address
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Address Line | 203 ASHWOOD CT
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City | ORMOND BEACH
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State | FL
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Zip | 32174-1501
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Country | US
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Telephone | 386-886-4433
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Fax | 949-864-3080
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Authorized Official
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Title or Position | PRESIDENT
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Name | NARGIZA A AYUPOVA
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Credential | DNP
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Telephone | 386-886-4433
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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 |
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License Number State |
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