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General NPI Number Information
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NPI Number | 1366195950
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Entity Type | Individual
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Provider Name | IANNI A ASANTE MSN, APRN, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 4930 ELM ST # 90
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City | BETHESDA
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State | MD
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Zip | 20814-2923
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Country | US
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Telephone | 240-630-7956
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Fax |
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Provider Business Mailing Address
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Address Line | 2231 NW 30TH AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-3226
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Country | US
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Telephone | 954-918-0007
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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 | 11016166
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License Number State | FL
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