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General NPI Number Information
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NPI Number | 1710281415
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Entity Type | Individual
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Provider Name | HIDELISSE CHARRIS ARNP
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Gender | Female
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 1150 45TH ST
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2361
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Country | US
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Telephone | 561-514-5300
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Fax | 561-514-5538
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Provider Business Mailing Address
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Address Line | 800 CLEMATIS ST STE 5-531
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-5107
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Country | US
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Telephone | 561-671-4036
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP11007005
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License Number State | FL
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