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General NPI Number Information
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NPI Number | 1376567701
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Entity Type | Individual
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Provider Name | ARMANDO CONTRERAS ARNP
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 1344 S APOLLO BLVD STE 300
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City | MELBOURNE
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State | FL
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Zip | 32901-3185
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Country | US
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Telephone | 321-725-2225
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Fax | 321-308-0635
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Provider Business Mailing Address
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Address Line | 95 BULLDOG BLVD STE 202
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City | MELBOURNE
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State | FL
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Zip | 32901-3188
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Country | US
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Telephone | 321-725-2225
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Fax | 321-308-0635
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9200835
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License Number State | FL
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