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General NPI Number Information
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NPI Number | 1609501030
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Entity Type | Individual
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Provider Name | LORIANNE NIEVES MENDEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 01/12/2023
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Provider Practice Location Address
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Address Line | 5500 LITTLE RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-1105
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Country | US
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Telephone | 727-372-1005
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Fax | 727-372-1009
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Provider Business Mailing Address
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Address Line | 1972 RAILROAD VINE DR
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City | ODESSA
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State | FL
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Zip | 33556-4542
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Country | US
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Telephone | 787-214-2533
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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 | RN9597059
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11019491
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License Number State | FL
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