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General NPI Number Information
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NPI Number | 1669133708
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Entity Type | Individual
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Provider Name | NUNCA FLEURGIN APRN
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Gender | Female
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Dates
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Enumeration Date | 12/30/2021
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 9858 GLADES RD STE D5
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City | BOCA RATON
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State | FL
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Zip | 33434-3982
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Country | US
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Telephone | 561-372-9190
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Fax |
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Provider Business Mailing Address
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Address Line | 955 NW 202ND LN
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3448
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Country | US
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Telephone | 786-523-4932
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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 | 11016595
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License Number State | FL
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