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General NPI Number Information
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NPI Number | 1497673602
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Entity Type | Individual
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Provider Name | KIERAN TULLY
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 309 N 21ST AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33020-4537
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Country | US
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Telephone | 305-899-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 9952 ROBINS NEST RD
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City | BOCA RATON
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State | FL
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Zip | 33496-2101
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Country | US
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Telephone | 561-909-9111
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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 | 9506488
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License Number State | FL
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