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General NPI Number Information
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NPI Number | 1750173472
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Entity Type | Individual
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Provider Name | MAGDA LOURDES FLEURIMOND APRN
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 805 E OAK ST STE 1
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City | KISSIMMEE
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State | FL
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Zip | 34744-4576
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Country | US
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Telephone | 407-933-0021
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Fax |
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Provider Business Mailing Address
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Address Line | 467 BRITTEN DR
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City | POINCIANA
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State | FL
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Zip | 34758-4123
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Country | US
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Telephone | 407-719-5835
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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 | 11039563
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License Number State | FL
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