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General NPI Number Information
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NPI Number | 1881090470
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Entity Type | Individual
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Provider Name | ANNA IBRAGIMOVA ANP
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Gender | Female
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Dates
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Enumeration Date | 11/10/2014
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 6832 14TH ST W UNIT 3
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City | BRADENTON
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State | FL
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Zip | 34207-5866
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Country | US
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Telephone | 941-297-2022
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Fax |
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F306960-1
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License Number State | NY
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