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General NPI Number Information
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NPI Number | 1730585175
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Entity Type | Individual
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Provider Name | HETAL PATEL ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 1135 PROFESSIONAL PARK DR
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City | BRANDON
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State | FL
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Zip | 33511-4887
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Country | US
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Telephone | 813-444-7735
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Fax | 813-742-4933
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Provider Business Mailing Address
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Address Line | 803 VISCOUNT ST
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City | BRANDON
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State | FL
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Zip | 33511-6653
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Country | US
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Telephone | 352-362-0310
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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 | 9307732
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License Number State | FL
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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 | 9307732
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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 | ARNP9307732
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License Number State | FL
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