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General NPI Number Information
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NPI Number | 1922986462
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Entity Type | Individual
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Provider Name | GABRIELLA KOSTANETS
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 636 DEL PRADO BLVD S
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City | CAPE CORAL
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State | FL
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Zip | 33990-2668
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Country | US
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Telephone | 239-424-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 933 EL DORADO PKWY W
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City | CAPE CORAL
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State | FL
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Zip | 33914-7252
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Country | US
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Telephone | 917-651-7157
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9640064
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License Number State | FL
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