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General NPI Number Information
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NPI Number | 1396280830
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Entity Type | Individual
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Provider Name | ARLENE GRANT
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Gender | Female
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 1001 W CYPRESS CREEK RD SUITE 118G
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City | FT LAUDERDALE
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State | FL
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Zip | 33309-1900
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Country | US
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Telephone | 561-633-5747
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Fax |
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Provider Business Mailing Address
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Address Line | 10580 NW 29TH MNR
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City | SUNRISE
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State | FL
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Zip | 33322-1024
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Country | US
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Telephone | 954-593-5440
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP2213762
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License Number State | FL
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