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General NPI Number Information
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NPI Number | 1326526377
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Entity Type | Individual
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Provider Name | GABRIELA LOPES FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 4725 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-4603
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Country | US
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Telephone | 954-542-3434
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Fax | 954-414-9751
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Provider Business Mailing Address
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Address Line | 361 SE 6TH CT
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City | POMPANO BEACH
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State | FL
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Zip | 33060-8429
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Country | US
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Telephone | 646-320-8534
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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 | 9351929
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License Number State | FL
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