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General NPI Number Information
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NPI Number | 1710602701
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Entity Type | Individual
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Provider Name | LANDY F POLLAS
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Gender | Female
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | 9021 NW 20TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3210
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Country | US
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Telephone | 305-351-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 9021 NW 20TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3210
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Country | US
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Telephone | 305-351-6113
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11022342
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11022342
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F404593
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License Number State | NY
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