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General NPI Number Information
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NPI Number | 1144679713
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Entity Type | Individual
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Provider Name | NATACHA NICAISSE AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 11211 SW 152ND ST
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City | MIAMI
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State | FL
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Zip | 33157-1101
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Country | US
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Telephone | 305-255-1355
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Fax |
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Provider Business Mailing Address
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Address Line | 3512 NE 3RD DR
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City | HOMESTEAD
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State | FL
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Zip | 33033-7135
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Country | US
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Telephone | 786-223-5279
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9202133
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License Number State | FL
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