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General NPI Number Information
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NPI Number | 1083241327
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Entity Type | Individual
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Provider Name | JUSTINA MARIE FERA APRN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 3602 KYOTO GARDENS DR
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-2713
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Country | US
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Telephone | 561-799-3388
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Fax |
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Provider Business Mailing Address
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Address Line | 6232 SE PORTOFINO CIR
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City | HOBE SOUND
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State | FL
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Zip | 33455-5800
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Country | US
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Telephone | 267-334-3727
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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 | RN717412
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9652628
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License Number State | FL
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