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General NPI Number Information
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NPI Number | 1083011092
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Entity Type | Individual
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Provider Name | BINETTE APSALON DORMINIER ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 6805 S US HIGHWAY 1
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-1434
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Country | US
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Telephone | 772-448-4612
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Fax | 772-242-8098
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Provider Business Mailing Address
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Address Line | 6805 S US HIGHWAY 1
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-1434
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Country | US
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Telephone | 772-448-4612
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Fax | 772-242-8098
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | ARNP9358262
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License Number State | FL
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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 | ARNP9358262
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License Number State | FL
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