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General NPI Number Information
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NPI Number | 1487161261
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Entity Type | Individual
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Provider Name | IDALUZ ARISTIZABAL APRN-BC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1489 W PALMETTO PARK RD STE 401
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City | BOCA RATON
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State | FL
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Zip | 33486-3325
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Country | US
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Telephone | 305-218-4332
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Fax | 561-939-4124
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Provider Business Mailing Address
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Address Line | 1489 W PALMETTO PARK RD
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City | BOCA RATON
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State | FL
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Zip | 33486-3325
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Country | US
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Telephone | 305-243-7900
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN9310537
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License Number State | FL
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