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General NPI Number Information
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NPI Number | 1528589181
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Entity Type | Organization
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Legal Business Name | AGAPE HEALTHCARE GROUP, CORP
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Dates
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Enumeration Date | 07/03/2017
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Last Update Date | 09/18/2017
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Provider Practice Location Address
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Address Line | 8517 NW 28TH CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5319
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Country | US
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Telephone | 954-825-8914
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Fax |
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Provider Business Mailing Address
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Address Line | 8517 NW 28TH CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5319
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Country | US
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Telephone | 954-667-5683
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Fax |
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Authorized Official
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Title or Position | PESIDENT
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Name | MAGALIE ROWLAND
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Credential | ARNP
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Telephone | 954-667-5683
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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 |
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License Number State |
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