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General NPI Number Information
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NPI Number | 1245786474
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Entity Type | Individual
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Provider Name | ALICIA ANNE CRAIG-RODRIGUEZ DNP, MBA, ARNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 08/28/2016
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Provider Practice Location Address
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Address Line | 9913 LAUREL VALLEY AVE CIR
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City | BRADENTON
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State | FL
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Zip | 34202-4009
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Country | US
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Telephone | 941-587-3192
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Fax |
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Provider Business Mailing Address
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Address Line | 9913 LAUREL VALLEY AVENUE CIR
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City | BRADENTON
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State | FL
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Zip | 34202-4009
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Country | US
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Telephone | 941-587-3192
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP2616102
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License Number State | FL
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