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NPI 1790624054

NPI 1790624054 : NILZA MERLIM MERLIM PERENTEL SILVA : PORT SAINT LUCIE, FL

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General NPI Number Information
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    NPI Number           |    1790624054
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    Entity Type          |    Individual 
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    Provider Name        |    NILZA MERLIM MERLIM PERENTEL SILVA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/25/2026
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    Last Update Date     |    03/25/2026
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Provider Practice Location Address
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    Address Line         |    1973 SW SAVAGE BLVD STE 203 
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    City                 |    PORT SAINT LUCIE
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    State                |    FL
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    Zip                  |    34953-2791
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    Country              |    US
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    Telephone            |    772-807-1363
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    Fax                  |    833-672-2835
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Provider Business Mailing Address
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    Address Line         |    10221 SW VILLAGE PKWY APT 102 
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    City                 |    PORT SAINT LUCIE
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    State                |    FL
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    Zip                  |    34987-2312
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    Country              |    US
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    Telephone            |    407-810-4260
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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        |    225A00000X
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    Taxonomy Name        |    Music Therapist
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    License Number       |    20148
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    License Number State |    FL
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