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General NPI Number Information
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NPI Number | 1124161260
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Entity Type | Individual
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Provider Name | ALADE B AFOLABI ARNP. DNP
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 03/11/2017
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Provider Practice Location Address
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Address Line | 1140 NE 163RD ST SUITE NUMBER 26
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4517
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Country | US
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Telephone | 954-658-4088
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Fax |
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Provider Business Mailing Address
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Address Line | 15181 NW 1ST ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1800
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Country | US
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Telephone | 954-658-4088
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 1941022
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License Number State | FL
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