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General NPI Number Information
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NPI Number | 1992598635
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Entity Type | Individual
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Provider Name | AMBER N PRESTO APRN
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 08/09/2025
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Provider Practice Location Address
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Address Line | 4710 S FLORIDA AVE
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City | LAKELAND
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State | FL
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Zip | 33813-2165
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Country | US
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Telephone | 863-687-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 4421 GINNY DR
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City | LAKELAND
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State | FL
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Zip | 33811-1412
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Country | US
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Telephone | 863-669-3892
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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 | APRN11039612
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License Number State | FL
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