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General NPI Number Information
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NPI Number | 1457993586
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Entity Type | Individual
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Provider Name | KALI GARCIA MALPICA ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 1853 SE PORT ST LUCIE BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-5530
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Country | US
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Telephone | 772-237-5244
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Fax | 772-905-8047
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Provider Business Mailing Address
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Address Line | 1853 SE PORT ST LUCIE BLVD
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-5530
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Country | US
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Telephone | 772-237-5244
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Fax | 772-905-8047
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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 | APRN11003836
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License Number State | FL
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