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General NPI Number Information
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NPI Number | 1467041434
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Entity Type | Individual
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Provider Name | ILEANA MELTON ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 5960A S JOG RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-6509
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Country | US
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Telephone | 844-665-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 7643 CORKWOOD AVE
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-7567
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Country | US
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Telephone | 954-818-7208
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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 | ARNP11009276
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License Number State | FL
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