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General NPI Number Information
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NPI Number | 1356327175
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Entity Type | Individual
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Provider Name | BRENDA SHUBERT GRINER ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 06/03/2011
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Provider Practice Location Address
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Address Line | 1600 S ANDREWS AVE
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City | FT LAUDERDALE
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State | FL
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Zip | 33316-2510
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Country | US
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Telephone | 954-325-5947
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Fax |
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Provider Business Mailing Address
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Address Line | 111 SE 8TH AVE APT 802
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City | FT LAUDERDALE
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State | FL
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Zip | 33301-2031
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Country | US
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Telephone | 954-325-5947
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | ARNP1572602
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License Number State | FL
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