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General NPI Number Information
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NPI Number | 1801625066
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Entity Type | Individual
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Provider Name | ANNA FELICIANO PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 5753 HIGHWAY 85 N STE 7937
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City | CRESTVIEW
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State | FL
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Zip | 32536-9365
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Country | US
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Telephone | 270-439-8304
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Fax | 386-217-6025
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Provider Business Mailing Address
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Address Line | 1317 EDGEWATER DR # 352
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City | ORLANDO
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State | FL
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Zip | 32804-6350
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Country | US
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Telephone | 407-504-2541
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9423648
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11034295
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License Number State | FL
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