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General NPI Number Information
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NPI Number | 1508770835
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Entity Type | Individual
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Provider Name | KHANIA NATERA ANDREA HAYNES
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Gender | Female
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 1070 MONTGOMERY RD # 2461
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-7420
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Country | US
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Telephone | 321-252-5858
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Fax | 321-490-6613
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Provider Business Mailing Address
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Address Line | 1070 MONTGOMERY RD # 2461
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-7420
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Country | US
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Telephone | 321-252-5858
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Fax | 321-490-6613
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9663497
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License Number State | FL
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