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General NPI Number Information
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NPI Number | 1063372746
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Entity Type | Individual
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Provider Name | PEGGY NOEL
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Gender | Female
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 7586 NW 104TH AVE UNIT G102
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City | DORAL
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State | FL
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Zip | 33178-4986
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Country | US
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Telephone | 305-910-0456
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Fax |
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Provider Business Mailing Address
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Address Line | 255 NE 122ND ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5322
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Country | US
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Telephone |
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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 | 110225116
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License Number State | FL
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