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General NPI Number Information
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NPI Number | 1518821180
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Entity Type | Individual
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Provider Name | KELLI CRISTINA DUTRA SILVA RANAURO NP
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Gender | Female
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 5979 VINELAND RD
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City | ORLANDO
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State | FL
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Zip | 32819-7800
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Country | US
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Telephone | 407-968-2056
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Fax |
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Provider Business Mailing Address
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Address Line | 1127 CASCADE DR
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City | DAVENPORT
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State | FL
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Zip | 33837-1603
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Country | US
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Telephone | 689-766-2087
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11044019
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License Number State | FL
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