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General NPI Number Information
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NPI Number | 1437040466
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Entity Type | Individual
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Provider Name | PATRICK PIERRE LOUIS
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Gender | Male
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Dates
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Enumeration Date | 07/09/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 5757 N DIXIE HWY
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4135
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Country | US
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Telephone | 954-463-4321
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 NW 42ND ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-4524
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Country | US
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Telephone | 954-624-5563
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | GAA-NP003430
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95035135
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11037292
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License Number State | FL
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