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General NPI Number Information
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NPI Number | 1457744344
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Entity Type | Individual
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Provider Name | MANDY POGINY APRN
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Gender | Female
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Dates
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Enumeration Date | 03/17/2015
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 5600 BAYSHORE RD
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City | PALMETTO
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State | FL
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Zip | 34221-9352
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Country | US
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Telephone | 941-721-2020
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Fax | 941-721-2027
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Provider Business Mailing Address
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Address Line | 101 RIVERFRONT BLVD STE 710
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City | BRADENTON
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State | FL
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Zip | 34205-8812
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Country | US
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Telephone | 941-776-4000
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Fax | 802-334-3281
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11024634
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0109990
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11024634
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License Number State | FL
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