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General NPI Number Information
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NPI Number | 1366740979
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Entity Type | Individual
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Provider Name | NADINE A CLARKE NP-C
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Gender | Female
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Dates
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Enumeration Date | 03/06/2011
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 2054 VISTA PARKWAY EMERALD VIEW 400
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City | WEST PALM BEACH
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State | FL
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Zip | 33411
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Country | US
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Telephone | 561-576-7879
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Fax |
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Provider Business Mailing Address
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Address Line | 7754 OKEECHOBEE BOULEVARD P.O. BOX 445
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City | WEST PALM BEACH
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State | FL
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Zip | 33411
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Country | US
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Telephone | 561-331-3577
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Fax | 561-331-3778
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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 | ARNP-9189895
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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 | 9189895
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9189895
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License Number State | FL
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