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General NPI Number Information
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NPI Number | 1316142730
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Entity Type | Individual
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Provider Name | NANCY ANN CHARRON-MUSKAT PA-C, MMS
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Gender | Female
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Dates
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Enumeration Date | 06/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 603 N FLAMINGO RD SUITE 350
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1023
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Country | US
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Telephone | 954-435-5100
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Fax | 954-435-5816
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Provider Business Mailing Address
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Address Line | 485 HOLIDAY DR
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-6519
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Country | US
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Telephone | 954-457-3528
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Fax | 954-927-2231
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9102954
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License Number State | FL
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