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General NPI Number Information
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NPI Number | 1396303392
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Entity Type | Individual
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Provider Name | ALEXANDER PATINO APRN
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Gender | Male
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 2343 AARON ST
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-5305
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Country | US
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Telephone | 941-629-2900
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Fax | 855-808-2036
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Provider Business Mailing Address
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Address Line | 2675 WINKLER AVE FL 2
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City | FORT MYERS
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State | FL
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Zip | 33901-9342
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Country | US
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Telephone | 877-856-3774
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN9289407
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11019871
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License Number State | FL
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