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General NPI Number Information
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NPI Number | 1447208772
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Entity Type | Individual
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Provider Name | SANDRA DACAS-LAING APRN
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 1776 N PINE ISLAND RD STE 106
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City | PLANTATION
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State | FL
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Zip | 33322-5200
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Country | US
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Telephone | 954-376-3739
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Fax | 844-407-9213
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Provider Business Mailing Address
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Address Line | 1100 COLONY POINT CIR UNIT 210
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-2925
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Country | US
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Telephone | 954-812-1617
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Fax | 954-362-4042
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP 1427312
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN1427312
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License Number State | FL
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