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General NPI Number Information
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NPI Number | 1679036164
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Entity Type | Individual
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Provider Name | MARSHA FEDNA APRN
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Gender | Female
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Dates
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Enumeration Date | 04/10/2019
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 3000 CORAL HILLS DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4108
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Country | US
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Telephone | 954-344-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1825 NW CORPORATE BLVD STE 105
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City | BOCA RATON
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State | FL
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Zip | 33431-8554
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Country | US
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Telephone | 561-299-3667
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 11002045
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 113716-23
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 11002045
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License Number State | FL
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