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General NPI Number Information
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NPI Number | 1588326433
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Entity Type | Individual
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Provider Name | BRENDA APAGUENO PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/07/2021
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1682 NE PINE ISLAND RD
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City | CAPE CORAL
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State | FL
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Zip | 33909-1756
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Country | US
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Telephone | 239-424-1600
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Fax | 239-424-1640
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Provider Business Mailing Address
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Address Line | PO BOX 2147
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City | FORT MYERS
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State | FL
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Zip | 33902-2147
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Country | US
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Telephone | 239-424-1500
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Fax | 239-424-1423
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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 | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY11291
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License Number State | FL
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