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General NPI Number Information
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NPI Number | 1992573893
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Entity Type | Organization
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Legal Business Name | MG PRIMARY CARE SOLUTIONS
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 06/15/2025
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Provider Practice Location Address
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Address Line | 1605 NW FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-9629
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Country | US
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Telephone | 772-480-5860
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Fax | 772-264-8310
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Provider Business Mailing Address
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Address Line | 1605 NW FEDERAL HWY
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City | STUART
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State | FL
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Zip | 34994-9629
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Country | US
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Telephone | 772-480-5860
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Fax | 772-264-8310
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Authorized Official
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Title or Position | OWNER
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Name | MELISSA GIARRATANO
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Credential | APRN
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Telephone | 772-285-8056
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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 |
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License Number State |
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