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General NPI Number Information
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NPI Number | 1174888150
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Entity Type | Individual
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Provider Name | DAIRA PARRA APRN
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Gender | Female
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Dates
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Enumeration Date | 07/06/2012
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 5579 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32809-3493
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Country | US
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Telephone | 407-860-7782
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Fax |
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Provider Business Mailing Address
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Address Line | 1732 MANOR DR
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City | KISSIMMEE
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State | FL
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Zip | 34741-6372
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Country | US
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Telephone | 407-860-7782
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11038227
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9512761
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License Number State | FL
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