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General NPI Number Information
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NPI Number | 1316536956
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Entity Type | Individual
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Provider Name | AYISHA FABLE APRN
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Gender | Female
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Dates
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Enumeration Date | 01/17/2021
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 6750 N ANDREWS AVE STE 200
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-2180
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Country | US
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Telephone | 954-940-2231
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Fax |
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Provider Business Mailing Address
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Address Line | 5079 N DIXIE HWY # 359
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4000
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Country | US
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Telephone | 954-940-2231
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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 | 11010980
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License Number State | FL
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