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General NPI Number Information
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NPI Number | 1295490688
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Entity Type | Individual
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Provider Name | ELINOR DE LA MORENA APRN
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Gender | Female
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 801 MEADOWS RD STE 116-118
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City | BOCA RATON
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State | FL
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Zip | 33486-2346
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Country | US
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Telephone | 613-389-6155
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Fax | 561-338-9616
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Provider Business Mailing Address
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Address Line | 23275 CAROLWOOD LN APT 201
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City | BOCA RATON
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State | FL
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Zip | 33428-2111
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Country | US
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Telephone | 954-773-3101
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11016306
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License Number State | FL
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