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General NPI Number Information
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NPI Number | 1548078140
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Entity Type | Individual
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Provider Name | RAPHAEL GARCIA APRN
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Gender | Male
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Dates
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Enumeration Date | 12/28/2024
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 2333 W HILLSBOROUGH AVE STE 100
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City | TAMPA
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State | FL
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Zip | 33603-1059
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Country | US
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Telephone | 813-872-4492
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Fax |
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Provider Business Mailing Address
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Address Line | 4338 SWIFT CIR
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City | VALRICO
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State | FL
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Zip | 33596-7247
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Country | US
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Telephone | 727-741-3599
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11034734
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN11034734
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License Number State | FL
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