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General NPI Number Information
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NPI Number | 1720214240
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Entity Type | Individual
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Provider Name | MINDI ASHLEY ANDERSON APRN, CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 06/10/2009
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 6825 LAKE NONA BOULEVARD
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City | ORLANDO
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State | FL
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Zip | 32827
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Country | US
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Telephone | 407-823-1956
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Fax |
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Provider Business Mailing Address
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Address Line | 3628 DEER OAK CIR
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City | OVIEDO
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State | FL
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Zip | 32766-8110
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Country | US
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Telephone | 817-714-6222
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP9404211
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License Number State | FL
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