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General NPI Number Information
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NPI Number | 1477580165
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Entity Type | Individual
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Provider Name | ARTHUR GLICK APRN
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Gender | Male
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 2010 NW 150TH AVE STE 120
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2888
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Country | US
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Telephone | 954-431-9838
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Fax | 954-241-6726
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Provider Business Mailing Address
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Address Line | 2010 NW 150TH AVE STE 120
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2888
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Country | US
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Telephone | 954-431-9838
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Fax | 954-241-6726
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F303765
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN9240690
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License Number State | FL
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