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General NPI Number Information
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NPI Number | 1518405364
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Entity Type | Individual
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Provider Name | ASHLEY CAROL NEIRA FNP
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Gender | Female
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 265 E ROLLINS ST STE 5300
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City | ORLANDO
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State | FL
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Zip | 32804-5525
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Country | US
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Telephone | 407-821-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 854 SHRIVER CIR
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City | LAKE MARY
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State | FL
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Zip | 32746-4935
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Country | US
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Telephone | 320-250-1585
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F339484-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 26NJ01044200
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License Number State | NJ
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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 | 11031422
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License Number State | FL
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