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General NPI Number Information
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NPI Number | 1326005844
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Entity Type | Individual
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Provider Name | CLARA E ST THOMAS NP
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Gender | Female
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 12401 MIRAMAR PKWY
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City | MIRAMAR
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State | FL
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Zip | 33027-2900
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Country | US
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Telephone | 954-538-8473
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Fax | 954-538-8479
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Provider Business Mailing Address
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Address Line | 19111 SW 8TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-6014
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Country | US
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Telephone | 954-885-8108
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | ND1125
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9248728
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License Number State | FL
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