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General NPI Number Information
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NPI Number | 1457220691
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Entity Type | Organization
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Legal Business Name | COMPLETE VIRTUAL CARE, LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 200 KNUTH RD STE 248
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City | BOYNTON BEACH
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State | FL
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Zip | 33436-4637
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Country | US
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Telephone | 954-279-5989
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 RENAISSANCE COMMONS BLVD APT 2522
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7227
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Country | US
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Telephone | 954-279-5989
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARONDA HANKERSON
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Credential | DNP, APRN, FNP-C
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Telephone | 954-279-5989
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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 |
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License Number State |
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