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General NPI Number Information
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NPI Number | 1225726979
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Entity Type | Organization
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Legal Business Name | DRIPNP LLC
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Dates
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Enumeration Date | 04/28/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 1451 W CYPRESS CREEK RD STE 300
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1953
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Country | US
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Telephone | 954-940-2231
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Fax |
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Provider Business Mailing Address
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Address Line | 5079 N DIXIE HWY STE 359
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4000
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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 | CEO
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Name | AYISHA FABLE
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Credential |
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Telephone | 954-940-2231
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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 |
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License Number State |
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