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General NPI Number Information
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NPI Number | 1073424867
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Entity Type | Individual
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Provider Name | ISABELLA KRECK
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 2587 E SUNRISE BLVD FL 33304
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-3203
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Country | US
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Telephone | 954-870-4341
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Fax |
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Provider Business Mailing Address
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Address Line | 601 E DANIA BEACH BLVD APT 1024
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City | DANIA BEACH
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State | FL
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Zip | 33004-3122
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Country | US
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Telephone | 845-699-5260
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9627255
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License Number State | FL
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