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General NPI Number Information
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NPI Number | 1316633225
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Entity Type | Individual
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Provider Name | FARAH CESAR
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Gender | Female
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Dates
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Enumeration Date | 04/13/2023
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 11489 SW FIELDSTONE WAY
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-2711
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Country | US
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Telephone | 347-217-3166
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Fax |
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Provider Business Mailing Address
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Address Line | 11489 SW FIELDSTONE WAY
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34987-2711
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Country | US
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Telephone | 347-217-3166
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11022866
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License Number State | FL
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