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General NPI Number Information
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NPI Number | 1255194619
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Entity Type | Individual
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Provider Name | IRINA DANILOVA APRN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 405 INTERSTATE BLVD UNIT C
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City | SARASOTA
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State | FL
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Zip | 34240-8926
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Country | US
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Telephone | 941-312-1633
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Fax | 941-732-1658
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Provider Business Mailing Address
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Address Line | 405 INTERSTATE BLVD UNIT C
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City | SARASOTA
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State | FL
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Zip | 34240-8926
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Country | US
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Telephone | 941-312-1633
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Fax | 941-732-1658
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN266009
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11031033
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License Number State | FL
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