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General NPI Number Information
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NPI Number | 1770043879
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Entity Type | Individual
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Provider Name | KATIUSKA PEREIRA ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2019
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 2406 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33305-2541
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Country | US
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Telephone | 954-860-8687
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Fax |
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Provider Business Mailing Address
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Address Line | 718 W 36TH ST
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City | HIALEAH
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State | FL
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Zip | 33012-5138
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Country | US
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Telephone | 305-510-6414
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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 | APRN11001876
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License Number State | FL
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