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General NPI Number Information
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NPI Number | 1053261537
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Entity Type | Individual
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Provider Name | NELLY ANNE MAURANT GRASS APRN
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Gender | Female
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 8501 SW 124TH AVE STE 211
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City | MIAMI
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State | FL
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Zip | 33183-4633
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Country | US
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Telephone | 305-595-6488
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Fax |
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Provider Business Mailing Address
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Address Line | 10940 SW 36TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3506
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Country | US
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Telephone | 786-439-5330
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11044822
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN11044822
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License Number State | FL
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