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General NPI Number Information
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NPI Number | 1588350326
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Entity Type | Individual
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Provider Name | GUYATHRI MYLINEE SIVOTHAYAN FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 861 OAKLEY SEAVER DR STE B
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City | CLERMONT
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State | FL
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Zip | 34711-1968
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Country | US
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Telephone | 813-230-3778
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Fax |
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Provider Business Mailing Address
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Address Line | 15502 STONEYBROOK WEST PKWY STE 104-245
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4767
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Country | US
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Telephone | 786-451-8048
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11026259
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9467689
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License Number State | FL
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