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General NPI Number Information
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NPI Number | 1619626926
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Entity Type | Individual
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Provider Name | BRIDGET EILEEN OARE
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 9897 HAGEN RANCH RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-6700
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Country | US
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Telephone | 561-990-4856
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Fax |
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Provider Business Mailing Address
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Address Line | 6120 REESE RD APT 4-403
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City | DAVIE
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State | FL
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Zip | 33314-1216
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Country | US
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Telephone | 716-208-7670
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11018580
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License Number State | FL
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