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General NPI Number Information
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NPI Number | 1821943218
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Entity Type | Individual
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Provider Name | ERNESTO MORENO ROSABAL FNP, RN
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Gender | Male
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 10213 FALCON MOSS LN APT 207
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City | ORLANDO
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State | FL
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Zip | 32832-5510
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Country | US
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Telephone | 832-404-1917
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Fax |
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Provider Business Mailing Address
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Address Line | 10213 FALCON MOSS LN APT 207
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City | ORLANDO
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State | FL
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Zip | 32832-5510
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Country | US
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Telephone | 832-404-1917
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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 | 005960
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License Number State | PR
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