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General NPI Number Information
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NPI Number | 1770066672
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Entity Type | Individual
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Provider Name | CARMEN ALITZA HARRISON ARNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 3501 WEST DR
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-2000
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Country | US
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Telephone | 954-426-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 23276 MIRABELLA CIR N
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City | BOCA RATON
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State | FL
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Zip | 33433-6126
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Country | US
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Telephone | 561-603-3813
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9275222
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License Number State | FL
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