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General NPI Number Information
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NPI Number | 1659887743
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Entity Type | Individual
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Provider Name | GERALDINE THOMAS FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/27/2017
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 13140 W DIXIE HWY
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City | NORTH MIAMI
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State | FL
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Zip | 33161-4131
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Country | US
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Telephone | 305-981-1570
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Fax |
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Provider Business Mailing Address
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Address Line | 931 SW 95TH TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-3668
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Country | US
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Telephone |
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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 | 9229957
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License Number State | FL
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