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General NPI Number Information
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NPI Number | 1700283173
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Entity Type | Individual
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Provider Name | SUZETTE R GARRICK APRN
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Gender | Female
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Dates
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Enumeration Date | 12/01/2014
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 1150 N 35TH AVE STE 670
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City | HOLLYWOOD
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State | FL
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Zip | 33021-5435
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Country | US
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Telephone | 954-265-9520
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Fax |
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Provider Business Mailing Address
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Address Line | 17855 DALLAS PKWY STE 200
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City | DALLAS
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State | TX
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Zip | 75287-6857
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Country | US
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Telephone | 346-376-1702
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Fax | 224-532-2780
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | APRN9218122
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License Number State | FL
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