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General NPI Number Information
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NPI Number | 1629311204
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Entity Type | Individual
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Provider Name | BRENDA OWUSU DNP, ANP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2013
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 4932 SW 167TH AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-4908
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Country | US
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Telephone | 850-766-0451
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Fax |
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Provider Business Mailing Address
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Address Line | 32019 RED TAIL BLVD
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City | SORRENTO
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State | FL
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Zip | 32776-7763
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Country | US
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Telephone | 850-766-0451
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN3316472
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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 | APRN3316472
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License Number State | FL
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