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General NPI Number Information
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NPI Number | 1760168710
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Entity Type | Organization
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Legal Business Name | MICHELLE AFD NP SERVICES LLC
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Dates
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Enumeration Date | 06/26/2023
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 6306 SW 1ST ST
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City | MARGATE
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State | FL
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Zip | 33068
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Country | US
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Telephone | 954-361-3907
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Fax |
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Provider Business Mailing Address
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Address Line | 6306 SW 1ST ST
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City | MARGATE
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State | FL
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Zip | 33068
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Country | US
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Telephone | 954-361-3907
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MICHELLE FREDERICK DAVIS
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Credential | ARNP
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Telephone | 954-361-3907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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