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General NPI Number Information
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NPI Number | 1679344782
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Entity Type | Individual
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Provider Name | MICHELLE WEBER FNP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1931 NE 47TH STREET
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308
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Country | US
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Telephone | 954-414-9750
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Fax |
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Provider Business Mailing Address
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Address Line | 5020 N 36TH CT
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City | HOLLYWOOD
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State | FL
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Zip | 33021-2233
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Country | US
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Telephone | 516-304-6001
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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 | 353206
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License Number State | NY
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