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General NPI Number Information
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NPI Number | 1992304133
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Entity Type | Individual
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Provider Name | DONAS MARIE USINA APRN, AGNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 1052 W SR 436 STE 1072
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2939
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Country | US
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Telephone | 321-972-6159
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Fax | 321-326-1524
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Provider Business Mailing Address
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Address Line | 865 GULF LAND DR
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City | APOPKA
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State | FL
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Zip | 32712-4847
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Country | US
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Telephone | 407-595-7002
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 11009668
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License Number State | FL
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