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General NPI Number Information
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NPI Number | 1538051990
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Entity Type | Individual
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Provider Name | KATHLEEN PRISCILLA BUCARITO DNP, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 15700 NW 67TH AVE
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2109
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Country | US
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Telephone | 786-434-5987
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Fax |
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Provider Business Mailing Address
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Address Line | 2583 NW 121ST DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-3225
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Country | US
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Telephone | 954-479-4265
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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 | APRN11041056
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License Number State | FL
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