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General NPI Number Information
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NPI Number | 1538814819
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Entity Type | Individual
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Provider Name | JOEL PEREZ-NUNEZ FNP
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Gender | Male
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 1000 MAR WALT DR
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City | FORT WALTON BEACH
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State | FL
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Zip | 32547-6708
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Country | US
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Telephone | 850-862-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 2129 MONTREAT WAY
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City | VESTAVIA HILLS
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State | AL
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Zip | 35216-4007
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Country | US
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Telephone | 954-668-3100
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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 | 1117018
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License Number State | TX
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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 | APRN.CNP.0038461
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License Number State | OH
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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 | 11018116
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License Number State | FL
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