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General NPI Number Information
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NPI Number | 1437945136
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Entity Type | Individual
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Provider Name | AMELIA IGNACIA HERNANDEZ BONILLA
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Gender | Female
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 10451 W BROWARD BLVD APT 109
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City | PLANTATION
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State | FL
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Zip | 33324-2125
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Country | US
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Telephone | 954-661-4931
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Fax |
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Provider Business Mailing Address
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Address Line | 10451 WEST BROWARD BLVD, 109 FL
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City | PLANTATION
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State | FL
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Zip | 33324-2125
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Country | US
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Telephone | 954-661-4931
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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 | APRN11038851
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License Number State | FL
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