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General NPI Number Information
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NPI Number | 1487232237
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Entity Type | Individual
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Provider Name | ROSANGELA CECILIANO APRN
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Gender | Female
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 5300 W HILLSBORO BLVD SUITE 103
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City | COCONUT CREEK
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State | FL
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Zip | 33073
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Country | US
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Telephone | 954-614-4053
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Fax | 954-531-1342
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Provider Business Mailing Address
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Address Line | 85 NE 6TH AVE
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441
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Country | US
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Telephone | 718-618-0401
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Fax | 347-479-1303
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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 | 11012103
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F347542
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License Number State | NY
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