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General NPI Number Information
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NPI Number | 1205414729
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Entity Type | Individual
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Provider Name | ADDYS DEL CARMEN REVE URGELLES MD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2021
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 4760 TAMIAMI TRL N STE 25
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City | NAPLES
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State | FL
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Zip | 34103-3065
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Country | US
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Telephone | 239-423-0272
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Fax | 239-423-0292
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Provider Business Mailing Address
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Address Line | 270 MADISON DR
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City | NAPLES
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State | FL
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Zip | 34110-1326
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Country | US
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Telephone | 239-423-0272
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Fax | 239-423-0292
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME163785
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | ME163785
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License Number State | FL
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