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General NPI Number Information
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NPI Number | 1013687904
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Entity Type | Individual
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Provider Name | GUADALUPE SULBARAN APRN
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Gender | Female
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1840 FOREST HILL BLVD STE 101
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6055
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Country | US
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Telephone | 561-964-1181
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Fax | 561-964-1196
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Provider Business Mailing Address
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Address Line | 1840 FOREST HILL BLVD STE 101
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6055
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Country | US
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Telephone | 619-641-1815
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Fax | 561-964-1196
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11015333
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 11015333
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License Number State | FL
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