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General NPI Number Information
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NPI Number | 1598620353
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Entity Type | Individual
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Provider Name | CELESTE ANGELLE BODE APRN
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Gender | Female
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 13695 US HIGHWAY 1
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City | SEBASTIAN
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State | FL
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Zip | 32958-3230
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Country | US
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Telephone | 772-589-3186
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Fax |
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Provider Business Mailing Address
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Address Line | 9345 107TH AVE
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City | VERO BEACH
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State | FL
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Zip | 32967-3138
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Country | US
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Telephone | 321-243-3264
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | APRN11044352
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License Number State | FL
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