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General NPI Number Information
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NPI Number | 1831038892
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Entity Type | Individual
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Provider Name | NICOLE PAOLA JATIVA WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 225 E 7TH ST
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City | APOPKA
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State | FL
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Zip | 32703-5327
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Country | US
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Telephone | 407-905-8827
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Fax |
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Provider Business Mailing Address
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Address Line | 359 VISTA OAK DR
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City | LONGWOOD
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State | FL
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Zip | 32779-3069
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Country | US
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Telephone |
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 11045371
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License Number State | FL
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