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General NPI Number Information
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NPI Number | 1225319783
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Entity Type | Individual
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Provider Name | VENTRICIA VICTOR F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 2677 FOREST HILL BLVD STE 125
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City | PALM SPRINGS
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State | FL
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Zip | 33406-5941
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Country | US
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Telephone | 561-855-8647
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Fax | 561-855-8872
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Provider Business Mailing Address
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Address Line | 101 PLAZA REAL S APT 916
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City | BOCA RATON
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State | FL
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Zip | 33432-4887
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Country | US
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Telephone | 631-291-2830
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Fax | 561-465-5978
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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 | 9438323
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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 | F336427-1
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License Number State | NY
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