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General NPI Number Information
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NPI Number | 1578932208
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Entity Type | Individual
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Provider Name | EDUARDO PROFET CRNA
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Gender | Male
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Dates
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Enumeration Date | 09/23/2015
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 30633 PIERCEFIELD CT
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-3924
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Country | US
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Telephone | 305-742-1694
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Fax |
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Provider Business Mailing Address
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Address Line | 14690 SPRING HILL DR 101
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City | SPRING HILL
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State | FL
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Zip | 34609-8102
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Country | US
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Telephone | 352-799-0046
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Fax | 352-799-0042
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP9333878
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9333878
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License Number State | FL
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