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General NPI Number Information
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NPI Number | 1033461470
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Entity Type | Individual
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Provider Name | MAUDE EXANTUS DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/09/2012
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 595 S FEDERAL HWY STE 130
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City | BOCA RATON
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State | FL
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Zip | 33432-6096
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Country | US
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Telephone | 561-338-3343
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Fax |
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Provider Business Mailing Address
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Address Line | 2719 HOLLYWOOD BLVD STE A-1794
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City | HOLLYWOOD
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State | FL
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Zip | 33020-4821
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Country | US
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Telephone | 754-777-0828
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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 | 9252859
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License Number State | FL
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