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General NPI Number Information
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NPI Number | 1285441394
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Entity Type | Individual
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Provider Name | ELIZABETH LEONOR MOLINARES DE CAMACHO ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 7575 DR PHILLIPS BLVD
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City | ORLANDO
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State | FL
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Zip | 32819-7216
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Country | US
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Telephone | 407-226-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 915 ARABIAN AVE
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-4528
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Country | US
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Telephone | 407-435-0272
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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 | 11034704
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License Number State | FL
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