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NPI 1861284093

NPI 1861284093 : STEPHANIE GATO APRN : GAINESVILLE, FL

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General NPI Number Information
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    NPI Number           |    1861284093
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHANIE GATO APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/22/2025
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    Last Update Date     |    10/03/2025
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Provider Practice Location Address
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    Address Line         |    1600 SW ARCHER RD 
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    City                 |    GAINESVILLE
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    State                |    FL
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    Zip                  |    32610-3003
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    Country              |    US
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    Telephone            |    352-265-0111
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14073 NW 9TH RD 
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    City                 |    NEWBERRY
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    State                |    FL
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    Zip                  |    32669-8001
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    Country              |    US
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    Telephone            |    786-523-4657
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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        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    PENDING
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    APRN11040155
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    License Number State |    FL
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