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General NPI Number Information
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NPI Number | 1679468979
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Entity Type | Individual
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Provider Name | VIVIANA MARIA AYALA APRN
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 745 ORIENTA AVE STE 1251
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-6611
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Country | US
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Telephone | 407-339-2910
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Fax | 321-972-3467
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Provider Business Mailing Address
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Address Line | 10834 MOBBERLEY CIR
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City | ORLANDO
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State | FL
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Zip | 32832-6994
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Country | US
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Telephone | 407-412-0048
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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 | APRN11042472
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License Number State | FL
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