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General NPI Number Information
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NPI Number | 1366628968
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Entity Type | Individual
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Provider Name | EDWINA ETIENNE ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2008
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Last Update Date | 08/27/2018
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Provider Practice Location Address
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Address Line | 160 NW 170TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169
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Country | US
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Telephone | 305-333-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 160 NW 170TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5521
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Country | US
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Telephone | 305-333-2825
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Fax | 954-436-0206
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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 | ARNP9184071
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License Number State | FL
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