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General NPI Number Information
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NPI Number | 1144772096
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Entity Type | Individual
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Provider Name | AISSEL FAQUIR APRN
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Gender | Female
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 3801 HOLLYWOOD BLVD STE 250
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6759
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Country | US
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Telephone | 954-961-8303
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Fax | 954-961-8307
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Provider Business Mailing Address
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Address Line | 1142 BANYAN DR
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City | HOLLYWOOD
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State | FL
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Zip | 33021-2135
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Country | US
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Telephone | 305-766-0392
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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 | 9307358
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License Number State | FL
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