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General NPI Number Information
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NPI Number | 1710441365
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Entity Type | Individual
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Provider Name | ORNELLA PUENTE APRN
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Gender | Female
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 01/29/2019
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Provider Practice Location Address
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Address Line | 14000 FIVAY RD
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City | HUDSON
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State | FL
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Zip | 34667-7103
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Country | US
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Telephone | 727-619-7070
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Fax |
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Provider Business Mailing Address
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Address Line | 35 BAYWOOD CT
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City | PALM HARBOR
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State | FL
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Zip | 34683-3700
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Country | US
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Telephone | 850-443-6090
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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 | 363LC0200X
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Taxonomy Name | Critical Care Medicine Nurse Practitioner
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License Number | 11001133
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11001133
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License Number State | FL
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