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General NPI Number Information
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NPI Number | 1760150551
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Entity Type | Individual
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Provider Name | KARINA CRUZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2021
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 3390 TAMIAMI TRL STE 101
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8161
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Country | US
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Telephone | 941-242-1929
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Fax | 941-242-5116
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Provider Business Mailing Address
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Address Line | 3390 TAMIAMI TRAIL SUITE#101
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952
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Country | US
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Telephone | 786-953-2841
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN1104834
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License Number State | FL
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