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General NPI Number Information
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NPI Number | 1710714381
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Entity Type | Individual
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Provider Name | VANESSA PAIGE FORREST FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/17/2024
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 520 S FEDERAL HWY
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City | BOCA RATON
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State | FL
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Zip | 33432-5020
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Country | US
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Telephone | 561-362-3240
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Fax | 561-362-1887
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Provider Business Mailing Address
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Address Line | 120 SPRUCE ST
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-9355
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11035166
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License Number State | FL
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