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General NPI Number Information
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NPI Number | 1255309001
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Entity Type | Individual
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Provider Name | NATHALIE J. NARCISSE M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/09/2006
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Last Update Date | 05/14/2025
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Provider Practice Location Address
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Address Line | 1801 W SAMPLE RD STE 301&303
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-1369
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Country | US
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Telephone | 954-486-4085
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Fax |
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Provider Business Mailing Address
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Address Line | 4725 NORTH FEDERAL HIGHWAY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4603
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Country | US
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Telephone | 954-771-8000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0060443
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME76506
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License Number State | FL
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