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General NPI Number Information
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NPI Number | 1659846467
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Entity Type | Individual
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Provider Name | ARIELLE NICOLE BERGMAN APRN
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Gender | Female
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 21301 POWERLINE RD UNIT 108
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City | BOCA RATON
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State | FL
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Zip | 33433-2388
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Country | US
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Telephone | 561-757-3775
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Fax |
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Provider Business Mailing Address
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Address Line | 12146 BEAR RIVER RD
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City | BOYNTON BEACH
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State | FL
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Zip | 33473-4970
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Country | US
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Telephone | 954-803-0166
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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 | 9371849
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License Number State | FL
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