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General NPI Number Information
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NPI Number | 1588487102
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Entity Type | Individual
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Provider Name | ALEXANDRA SAXON OLIVA
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Gender | Female
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Dates
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Enumeration Date | 11/02/2024
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Last Update Date | 11/02/2024
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Provider Practice Location Address
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Address Line | 6919 N DALE MABRY HWY
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City | TAMPA
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State | FL
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Zip | 33614-3972
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Country | US
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Telephone | 813-680-1405
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Fax |
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Provider Business Mailing Address
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Address Line | 501 LAKE MARIAM LN
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City | WINTER HAVEN
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State | FL
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Zip | 33884-4500
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Country | US
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Telephone | 863-258-4478
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11036197
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License Number State | FL
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