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General NPI Number Information
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NPI Number | 1700534450
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Entity Type | Individual
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Provider Name | ONIESHA T WELLINGTON APRN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2022
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 5329 ATLANTIC AVE STE 204
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City | DELRAY BEACH
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State | FL
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Zip | 33484-8142
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Country | US
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Telephone | 561-375-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 3888 NW 67TH WAY
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City | LAUDERHILL
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State | FL
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Zip | 33319-7309
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Country | US
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Telephone | 754-551-1102
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11014401
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License Number State | FL
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