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General NPI Number Information
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NPI Number | 1780337329
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Entity Type | Organization
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Legal Business Name | PAULETTE GOPMAN PERLOWIN LLC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 4291 NW 1ST DR
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9245
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Country | US
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Telephone | 954-471-2801
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Fax | 954-531-1708
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Provider Business Mailing Address
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Address Line | 4291 NW 1ST DR
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-9245
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Country | US
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Telephone | 954-471-2801
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Fax | 954-531-1708
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Authorized Official
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Title or Position | NURSE PRACTITIONER, OWNER
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Name | MS. PAULETTE G PERLOWIN
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Credential | DNP,PMHNP,ANP,APRNBC
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Telephone | 954-471-2801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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