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General NPI Number Information
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NPI Number | 1215746391
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Entity Type | Individual
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Provider Name | BRIANNA LEAH HUEBNER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 434 GREENSBORO WAY
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-5052
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Country | US
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Telephone | 860-805-5717
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Fax |
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Provider Business Mailing Address
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Address Line | 690 SW 1ST CT APT 2318
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City | MIAMI
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State | FL
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Zip | 33130-2927
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Country | US
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Telephone |
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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 | APRN11036219
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License Number State | FL
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