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General NPI Number Information
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NPI Number | 1619446739
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Entity Type | Individual
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Provider Name | NOUREEN DHANANI NP
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Gender | Female
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Dates
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Enumeration Date | 11/19/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 3201 WEDGEWOOD LN
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City | THE VILLAGES
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State | FL
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Zip | 32162-7116
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Country | US
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Telephone | 352-261-0901
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Fax |
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Provider Business Mailing Address
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Address Line | 13221 ZORI LN
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City | WINDERMERE
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State | FL
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Zip | 34786-7303
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Country | US
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Telephone | 407-668-3844
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 11000180
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | APRN11000180
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11000180
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License Number State | FL
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