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General NPI Number Information
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NPI Number | 1285119859
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Entity Type | Individual
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Provider Name | ROSENIQUE DUVERNA
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Gender | Female
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Dates
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Enumeration Date | 09/30/2018
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 175 SOUTH SR7
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City | MARGATE
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State | FL
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Zip | 33068
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Country | US
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Telephone | 954-586-4343
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Fax | 954-827-7800
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Provider Business Mailing Address
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Address Line | 874 NW 126TH DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-4427
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Country | US
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Telephone | 954-529-6157
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN9291392
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License Number State | FL
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