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NPI 1588055990

NPI 1588055990 : JULIANA D AVILA ARNP : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1588055990
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    Entity Type          |    Individual 
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    Provider Name        |    JULIANA D AVILA ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/08/2015
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    Last Update Date     |    05/21/2024
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Provider Practice Location Address
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    Address Line         |    110 UNDERWOOD ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32806-1139
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    Country              |    US
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    Telephone            |    407-422-3790
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    Fax                  |    407-425-4358
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Provider Business Mailing Address
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    Address Line         |    110 UNDERWOOD ST 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32806-1139
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    Country              |    US
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    Telephone            |    407-422-3790
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    Fax                  |    407-425-4358
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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       |    AP60565190
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    APRN9268772
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    AP60565190
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    License Number State |    WA
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Taxonomy #4
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    APRN9268772
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    License Number State |    FL
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