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General NPI Number Information
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NPI Number | 1265637805
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Entity Type | Individual
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Provider Name | NANCY SUNDIN RAAB A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 10151 ENTERPRISE CENTER BLVD SUITE 205
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3759
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Country | US
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Telephone | 561-732-8102
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Fax | 561-732-8401
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Provider Business Mailing Address
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Address Line | 7036 ASHTON ST
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-6045
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Country | US
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Telephone | 561-733-5705
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Fax | 561-733-5037
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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 | ARNP9171035
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License Number State | FL
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