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General NPI Number Information
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NPI Number | 1245990399
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Entity Type | Individual
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Provider Name | DEBRA ANN STEWART-DELANCY NP
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Gender | Female
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 12/29/2021
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Provider Practice Location Address
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Address Line | 1599 SW 187TH AVE
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City | MIAMI
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State | FL
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Zip | 33194-2801
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Country | US
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Telephone | 305-480-4269
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Fax |
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Provider Business Mailing Address
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Address Line | 14833 SW 171ST TER
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City | MIAMI
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State | FL
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Zip | 33187-1777
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Country | US
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Telephone | 786-342-4327
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11017216
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License Number State | FL
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