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General NPI Number Information
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NPI Number | 1740765130
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Entity Type | Individual
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Provider Name | ALEXANDRIA DOLORES ST ROSE ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/01/2018
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 2100 SE HILLMOOR DR STE 101
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City | PORT ST LUCIE
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State | FL
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Zip | 34952-8057
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Country | US
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Telephone | 561-713-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 271 NE GRANDUER AVE
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City | PORT ST LUCIE
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State | FL
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Zip | 34983-1288
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Country | US
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Telephone | 561-713-3772
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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 | 9370029
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11000472
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License Number State | FL
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