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General NPI Number Information
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NPI Number | 1699220277
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Entity Type | Individual
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Provider Name | ALISHA CHRISTIE ELIZABETH AZEMAR
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Gender | Female
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Dates
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Enumeration Date | 08/24/2016
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Last Update Date | 01/27/2022
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Provider Practice Location Address
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Address Line | 1515 N FLAGLER DR STE 200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3429
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Country | US
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Telephone | 561-249-2279
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Fax | 561-720-2970
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Provider Business Mailing Address
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Address Line | 1515 N FLAGLER DR STE 200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3429
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Country | US
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Telephone | 561-249-2279
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Fax | 561-720-2970
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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 | ARNP 9336221
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License Number State | FL
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