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General NPI Number Information
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NPI Number | 1679938237
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Entity Type | Individual
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Provider Name | NATALIA MYSH APN
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Gender | Female
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Dates
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Enumeration Date | 12/28/2015
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1000 AIRPORT RD S # PULLINGS
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City | NAPLES
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State | FL
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Zip | 34104-4366
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Country | US
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Telephone | 239-307-1800
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Fax | 239-308-1799
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Provider Business Mailing Address
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Address Line | 1685 MCGREGOR RESERVE DR
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City | FORT MYERS
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State | FL
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Zip | 33901-9658
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Country | US
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Telephone | 201-317-3386
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NJ00589100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 26NJ00589100
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11009168
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License Number State | FL
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