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General NPI Number Information
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NPI Number | 1417847955
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Entity Type | Individual
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Provider Name | NADIA TRUDY-ANN MCLEAN MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 1005 N 35TH AVE FL 4
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5402
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Country | US
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Telephone | 954-265-5324
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Fax |
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Provider Business Mailing Address
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Address Line | 620 S PARK RD APT 2-13
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8507
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Country | US
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Telephone | 954-243-5277
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 43571
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License Number State | FL
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