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General NPI Number Information
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NPI Number | 1881725794
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Entity Type | Individual
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Provider Name | DIANE ZGALJIC RN,MS,ANP-C
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Gender | Female
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 11505 RANGELAND PKWY
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City | BRADENTON
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State | FL
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Zip | 34211-4041
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Country | US
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Telephone | 941-907-6016
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Fax | 941-907-0199
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Provider Business Mailing Address
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Address Line | 11505 RANGELAND PKWY
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City | BRADENTON
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State | FL
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Zip | 34211-4041
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Country | US
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Telephone | 941-907-6016
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Fax | 941-907-0199
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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 | 3193512
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License Number State | FL
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