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General NPI Number Information
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NPI Number | 1477882223
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Entity Type | Individual
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Provider Name | ANA TAVERAS PANTALEON M.D
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Gender | Female
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Dates
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Enumeration Date | 12/08/2009
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 14560 HOPE CENTER LOOP
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City | FORT MYERS
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State | FL
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Zip | 33912-4711
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Country | US
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Telephone | 239-939-1099
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Fax | 239-939-1070
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Provider Business Mailing Address
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Address Line | 777 37TH ST STE C107
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City | VERO BEACH
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State | FL
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Zip | 32960-7301
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Country | US
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Telephone | 772-562-3234
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Fax | 772-562-3236
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME113119
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License Number State | FL
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