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General NPI Number Information
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NPI Number | 1376919621
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Entity Type | Individual
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Provider Name | LOREEN RUIZ APRN
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Gender | Female
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 1951 SW 172ND AVE STE 308
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City | MIRAMAR
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State | FL
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Zip | 33029-5614
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Country | US
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Telephone | 954-431-1904
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Fax | 954-431-1914
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Provider Business Mailing Address
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Address Line | 4740 N STATE ROAD 7 STE 201
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5839
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Country | US
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Telephone |
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN9197357
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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 | 9197357
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License Number State | FL
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