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General NPI Number Information
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NPI Number | 1639856164
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Entity Type | Individual
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Provider Name | DR. ANTHONY NELSON NUNEZ
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Gender | Male
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1708 S ALEXANDER ST
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City | PLANT CITY
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State | FL
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Zip | 33563-8411
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Country | US
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Telephone | 813-686-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 4144 SUNNY ASPEN CIR APT 308
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City | FORT MYERS
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State | FL
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Zip | 33916-8255
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Country | US
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Telephone | 917-912-8867
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN29919
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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