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General NPI Number Information
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NPI Number | 1114655099
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Entity Type | Individual
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Provider Name | GUERLINE ROSE LAUNA LAURIUS RN
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Gender | Female
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Dates
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Enumeration Date | 08/09/2022
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 18832 SW 318TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33030-5502
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Country | US
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Telephone | 786-281-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 18832 SW 318TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33030-5502
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Country | US
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Telephone | 786-281-7111
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 9340204
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License Number State | FL
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