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NPI 1578340832

NPI 1578340832 : DEANNA MARIE SPEIGEL AGACNP-BC : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1578340832
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    Entity Type          |    Individual 
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    Provider Name        |    DEANNA MARIE SPEIGEL AGACNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/11/2023
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    Last Update Date     |    12/14/2023
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Provider Practice Location Address
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    Address Line         |    11410 N KENDALL DR STE 304 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33176-1031
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    Country              |    US
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    Telephone            |    305-282-9299
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9330 SW 104TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33176-3608
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    Country              |    US
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    Telephone            |    305-608-4717
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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        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    11028546
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    11028546
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    363LC0200X
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    Taxonomy Name        |    Critical Care Medicine Nurse Practitioner
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    License Number       |    11028546
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    License Number State |    FL
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