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General NPI Number Information
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NPI Number | 1407456064
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Entity Type | Individual
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Provider Name | NATACHA ETIENNE FNP
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Gender | Female
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Dates
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Enumeration Date | 10/31/2020
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Last Update Date | 10/31/2020
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Provider Practice Location Address
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Address Line | 5300 W HILLSBORO BLVD
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4395
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Country | US
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Telephone | 561-768-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 2379 NW 33RD TER
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City | COCONUT CREEK
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State | FL
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Zip | 33066-2253
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Country | US
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Telephone | 156-176-8322
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9346858
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License Number State | FL
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