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General NPI Number Information
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NPI Number | 1427873025
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Entity Type | Individual
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Provider Name | ACSA SPIELVOGEL APRN
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Gender | Female
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 6950 CYPRESS RD STE 107
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City | PLANTATION
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State | FL
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Zip | 33317-2361
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Country | US
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Telephone | 754-202-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 1512 SW 191ST TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-6162
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Country | US
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Telephone | 832-454-6338
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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 | 11035843
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License Number State | FL
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