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General NPI Number Information
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NPI Number | 1265563415
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Entity Type | Individual
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Provider Name | VICTORIA BABOL ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2001 W 68TH ST
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City | HIALEAH
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State | FL
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Zip | 33016-1801
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Country | US
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Telephone | 305-819-1333
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Fax | 786-639-1621
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Provider Business Mailing Address
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Address Line | 8163 N.W. 201 STREET
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City | HIALEAH
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State | FL
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Zip | 33015
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Country | US
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Telephone | 305-829-0935
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | ARNP 1553922
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License Number State | FL
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