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General NPI Number Information
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NPI Number | 1720480445
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Entity Type | Individual
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Provider Name | MICHEL POITEVIEN ARNP
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Gender | Male
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 6245 MIRAMAR PKWY STE 102
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City | MIRAMAR
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State | FL
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Zip | 33023-3964
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Country | US
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Telephone | 786-282-1232
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Fax |
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Provider Business Mailing Address
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Address Line | 177 NE 166TH ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3441
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Country | US
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Telephone | 786-282-1232
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9273908
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9273908
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License Number State | FL
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