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General NPI Number Information
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NPI Number | 1346745668
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Entity Type | Individual
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Provider Name | DEENA HOSSINO MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2018
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 509 SE RIVERSIDE DR STE 200
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City | STUART
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State | FL
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Zip | 34994-2579
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Country | US
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Telephone | 877-463-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 509 SE RIVERSIDE DR STE 200
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City | STUART
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State | FL
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Zip | 34994-2579
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Country | US
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Telephone |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A185477
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME175182
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License Number State | FL
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