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General NPI Number Information
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NPI Number | 1528705761
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Entity Type | Individual
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Provider Name | ERICKA L QUIROGA APRN
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Gender | Female
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 9774 GLADES RD STE A7
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City | BOCA RATON
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State | FL
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Zip | 33434-3976
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Country | US
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Telephone | 561-430-5661
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Fax |
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Provider Business Mailing Address
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Address Line | 160 W CAMINO REAL # 1115
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City | BOCA RATON
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State | FL
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Zip | 33432-5942
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Country | US
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Telephone | 561-452-5230
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11019729
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9386869
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License Number State | FL
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