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General NPI Number Information
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NPI Number | 1881402592
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Entity Type | Individual
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Provider Name | JOSE JOEL CARTAGENA GUTIERREZ DNP, APRN, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 1471B E OSCEOLA PKWY
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City | KISSIMMEE
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State | FL
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Zip | 34744-1604
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Country | US
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Telephone | 407-680-1811
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Fax | 833-764-4618
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Provider Business Mailing Address
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Address Line | 3250 MARY ST STE 300
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City | MIAMI
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State | FL
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Zip | 33133-5293
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Country | US
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Telephone | 305-908-1115
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Fax | 305-675-3135
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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 | APRN11036845
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License Number State | FL
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