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General NPI Number Information
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NPI Number | 1588969471
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Entity Type | Individual
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Provider Name | HEATHER NABERS FATIGATE A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 01/24/2011
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Provider Practice Location Address
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Address Line | 10301 HAGEN RANCH RD STE 110
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3727
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Country | US
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Telephone | 561-738-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 701 SE 16TH ST APT 5
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-2660
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Country | US
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Telephone | 954-296-4018
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Fax | 954-306-3879
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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 | ARNP9217563
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License Number State | FL
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