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General NPI Number Information
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NPI Number | 1417728262
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Entity Type | Individual
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Provider Name | DIANA VICTORIA HUAMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 9975 TAVISTOCK LAKES BLVD STE 220
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City | ORLANDO
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State | FL
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Zip | 32827-7665
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Country | US
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Telephone | 407-930-7801
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Fax | 407-930-7806
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Provider Business Mailing Address
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Address Line | 3727 N GOLDENROD RD STE 106
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City | WINTER PARK
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State | FL
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Zip | 32792-8611
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11029153
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License Number State | FL
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