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General NPI Number Information
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NPI Number | 1497213193
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Entity Type | Individual
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Provider Name | GILDA PAMPHILE
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Gender | Female
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 20900 BISCAYNE BLVD
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City | AVENTURA
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State | FL
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Zip | 33180-1495
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Country | US
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Telephone | 305-682-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 10700 CITY CENTER BLVD APT 1210
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-4075
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Country | US
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Telephone | 786-390-5036
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9296200
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11006974
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | TEMPAPRN0097
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License Number State | GA
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