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General NPI Number Information
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NPI Number | 1023406717
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Entity Type | Individual
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Provider Name | AIDAN RANIERE FNP-C
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Gender | Male
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Dates
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Enumeration Date | 01/02/2015
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Last Update Date | 07/28/2024
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Provider Practice Location Address
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Address Line | 789 S FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1218
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Country | US
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Telephone | 954-315-5784
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Fax |
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Provider Business Mailing Address
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Address Line | 2128 NE 62ND ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-2163
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Country | US
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Telephone | 214-727-3711
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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 | 101.0108940
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License Number State | VT
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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 | ARNP9453518
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License Number State | FL
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