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General NPI Number Information
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NPI Number | 1912080714
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Entity Type | Individual
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Provider Name | WANDA MILAGROS RUBEN ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2040 COLLIER AVE SUITE A
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City | FORT MYERS
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State | FL
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Zip | 33901-8124
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Country | US
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Telephone | 239-277-9151
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Fax | 239-277-1552
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Provider Business Mailing Address
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Address Line | 15717 BEACHCOMBER AVE
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City | FORT MYERS
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State | FL
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Zip | 33908-3713
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Country | US
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Telephone | 239-267-9169
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Fax | 239-277-1552
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9226484
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License Number State | FL
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