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General NPI Number Information
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NPI Number | 1639613995
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Entity Type | Individual
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Provider Name | GABRIJELA MEKIC-RUIZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 5010 HOLLYWOO BOULEVARD STE 100B
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5801
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Country | US
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Telephone | 954-967-0028
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Fax | 954-967-8141
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Provider Business Mailing Address
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Address Line | 320 NE 12TH AVE APT 101
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4505
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Country | US
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Telephone | 954-449-5965
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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 | APRN9310191
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License Number State | FL
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