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General NPI Number Information
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NPI Number | 1457271595
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Entity Type | Individual
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Provider Name | DENNECIA NISBETH
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 8201 N UNIVERSITY DR STE 201
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City | TAMARAC
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State | FL
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Zip | 33321-1709
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Country | US
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Telephone | 954-470-2851
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Fax |
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Provider Business Mailing Address
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Address Line | 10245 VESTAL CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-5834
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Country | US
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Telephone | 407-714-3802
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 9641343
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License Number State | FL
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