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General NPI Number Information
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NPI Number | 1508454893
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Entity Type | Individual
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Provider Name | ROSELINE DELICE
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Gender | Female
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Dates
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Enumeration Date | 01/04/2021
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | 1351 NW 27TH AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33069-1818
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Country | US
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Telephone | 954-831-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 19121 NW 7TH AVE
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City | MIAMI
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State | FL
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Zip | 33169-3546
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Country | US
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Telephone | 305-746-4492
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11009999
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License Number State | FL
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