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General NPI Number Information
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NPI Number | 1538446422
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Entity Type | Individual
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Provider Name | ANGEL PEREZ ARNP
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Gender | Male
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Dates
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Enumeration Date | 11/07/2011
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Last Update Date | 08/01/2017
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Provider Practice Location Address
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Address Line | 3661 S MIAMI AVE SUITE 1006
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City | MIAMI
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State | FL
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Zip | 33133-4236
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Country | US
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Telephone | 305-856-5057
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Fax | 305-856-8735
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Provider Business Mailing Address
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Address Line | 2160 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS DEPT.
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City | FORT MYERS
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State | FL
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Zip | 33907-1410
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Country | US
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Telephone | 239-931-7342
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Fax | 239-931-7385
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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 | ARNP9298860
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9298860
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License Number State | FL
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