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General NPI Number Information
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NPI Number | 1710784533
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Entity Type | Individual
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Provider Name | MRS. BERNISE C SAINT LOUIS
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Gender | Female
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 3100 WESTON RD
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City | WESTON
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State | FL
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Zip | 33331-3602
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Country | US
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Telephone | 954-659-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 11094 PACIFICA ST
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City | WELLINGTON
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State | FL
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Zip | 33449-8337
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 9624068
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 9624068
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License Number State | FL
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