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General NPI Number Information
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NPI Number | 1962391896
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Entity Type | Individual
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Provider Name | ANETTE FRANCENE DIAS APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 8108 N NEBRASKA AVE
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City | TAMPA
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State | FL
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Zip | 33604-3103
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Country | US
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Telephone | 813-397-5300
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Fax | 855-313-7935
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Provider Business Mailing Address
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Address Line | 5823 N LOIS AVE
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City | TAMPA
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State | FL
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Zip | 33614-5528
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Country | US
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Telephone | 813-297-3658
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11040654
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License Number State | FL
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