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General NPI Number Information
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NPI Number | 1710138268
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Entity Type | Individual
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Provider Name | HEATHER MARIE BERTOLERO APRN
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Gender | Female
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Dates
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Enumeration Date | 10/02/2008
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 8745 HENDERSON RD
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City | TAMPA
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State | FL
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Zip | 33634-1150
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Country | US
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Telephone | 813-922-2526
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Fax | 888-768-5029
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Provider Business Mailing Address
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Address Line | 4145 BONFIRE DR
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City | ODESSA
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State | FL
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Zip | 33556-4598
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Country | US
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Telephone | 973-464-6033
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2359345
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9432150
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NJ001666
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License Number State | NJ
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