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General NPI Number Information
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NPI Number | 1013409655
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Entity Type | Individual
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Provider Name | LENIDE JEAN-CHARLES FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 03/11/2019
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Provider Practice Location Address
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Address Line | 7824 NW 20TH CT
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City | SUNRISE
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State | FL
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Zip | 33322-3906
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Country | US
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Telephone | 954-268-6345
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Fax |
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Provider Business Mailing Address
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Address Line | 7824 NW 20TH CT
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City | SUNRISE
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State | FL
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Zip | 33322-3906
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Country | US
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Telephone | 954-268-6345
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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 | APRN9276224
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9276224
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License Number State | FL
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