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General NPI Number Information
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NPI Number | 1609001106
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Entity Type | Individual
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Provider Name | TRUDELL A DOCTOR M.D
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Gender | Female
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 6080 BOYNTON BEACH BLVD STE 230
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3588
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Country | US
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Telephone | 561-807-7780
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Fax | 866-950-0144
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Provider Business Mailing Address
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Address Line | 6080 BOYNTON BEACH BLVD STE 230
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3586
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Country | US
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Telephone | 561-866-3200
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Fax | 833-471-3203
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME103551
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License Number State | FL
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