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General NPI Number Information
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NPI Number | 1174672919
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Entity Type | Individual
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Provider Name | PAULINE VEVIAN GOOD ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 04/05/2025
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Provider Practice Location Address
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Address Line | 3006 JOSIE BILLIEAVE
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City | HOLLYWOOD
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-962-2009
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Fax | 954-986-0243
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Provider Business Mailing Address
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Address Line | 1394 SW 159TH LN
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-5038
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Country | US
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Telephone | 954-435-1760
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Fax | 954-986-0243
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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 | 2156712
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F348854-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95020076
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN-2156712
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License Number State | FL
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