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General NPI Number Information
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NPI Number | 1225276769
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Entity Type | Individual
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Provider Name | THAMAR MAURICE FNP
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Gender | Female
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Dates
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Enumeration Date | 01/21/2009
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 99 NW 183RD ST STE 120
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4518
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Country | US
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Telephone | 786-446-7470
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Fax | 786-434-6423
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Provider Business Mailing Address
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Address Line | 99 NW 183RD ST STE 120
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4518
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Country | US
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Telephone | 786-446-7470
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Fax | 786-434-6423
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 5182385
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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 | 11003272
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License Number State | FL
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