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General NPI Number Information
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NPI Number | 1316838337
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Entity Type | Individual
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Provider Name | SHAMARE SHARLANIQUE LOBBAN
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Gender | Female
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 1951 SW 172ND AVE STE 212
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City | MIRAMAR
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State | FL
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Zip | 33029-5613
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Country | US
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Telephone | 954-507-4494
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Fax |
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Provider Business Mailing Address
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Address Line | 1841 NW 125TH TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2552
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Country | US
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Telephone | 561-503-3679
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | APRN11039507
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License Number State | FL
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