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General NPI Number Information
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NPI Number | 1548182090
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Entity Type | Individual
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Provider Name | PEDRO MOSTAFA ARNP
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Gender | Male
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 12264 TAMIAMI TRL E STE 201
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City | NAPLES
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State | FL
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Zip | 34113-7942
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Country | US
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Telephone | 239-304-9071
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Fax |
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Provider Business Mailing Address
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Address Line | 12264 TAMIAMI TRL E STE 201
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City | NAPLES
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State | FL
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Zip | 34113-7942
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Country | US
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Telephone | 305-336-0309
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11049559
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License Number State | FL
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