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General NPI Number Information
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NPI Number | 1659054468
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Entity Type | Individual
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Provider Name | DAVID PRADO
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Gender | Male
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Dates
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Enumeration Date | 08/08/2023
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 1680 SAINT CLAIR AVE E
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-4649
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Country | US
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Telephone | 786-269-3358
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Fax |
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Provider Business Mailing Address
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Address Line | 1680 SAINT CLAIR AVE E
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-4649
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Country | US
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Telephone | 786-269-3358
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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 | 95037035
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License Number State | CA
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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 | 358469
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F06230584
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License Number State | FL
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