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General NPI Number Information
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NPI Number | 1760115067
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Entity Type | Individual
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Provider Name | KRISTYN D'ELIA MSN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 5697 CORAL RIDGE DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33076-3160
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Country | US
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Telephone | 954-580-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 4982 EGRET CT
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City | COCONUT CREEK
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State | FL
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Zip | 33073-2416
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Country | US
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Telephone | 954-790-0960
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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 | 658779
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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 | 11020636
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License Number State | FL
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