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General NPI Number Information
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NPI Number | 1184062143
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Entity Type | Individual
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Provider Name | MRS. CHRISTABELLE QUADROS
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Gender | Female
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 03/27/2017
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Provider Practice Location Address
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Address Line | 4500 WEST MIDWAY RD NEW HORIZONS OF THE TREASURE COAST
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City | FORT PIERCE
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State | FL
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Zip | 34981
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Country | US
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Telephone | 772-672-8480
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Fax | 772-467-5522
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Provider Business Mailing Address
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Address Line | 17 DEL SOL
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City | PORT ST.LUCIE
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State | FL
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Zip | 34952
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Country | US
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Telephone | 772-301-1076
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9395310
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License Number State | FL
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