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General NPI Number Information
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NPI Number | 1669835112
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Entity Type | Individual
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Provider Name | REYNALDO E ARRIETA APRN
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Gender | Male
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Dates
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Enumeration Date | 04/01/2016
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 7322 US HIGHWAY 19 N
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City | PINELLAS PARK
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State | FL
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Zip | 33781-4600
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Country | US
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Telephone | 727-373-4401
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 400
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City | MIAMI
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State | FL
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Zip | 33126-2051
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Country | US
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Telephone | 305-500-2000
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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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 | APRN11016387
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9500673
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License Number State | FL
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