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NPI 1801320452

NPI 1801320452 : LERAE J HILL APRN : FORT LAUDERDALE, FL

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General NPI Number Information
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    NPI Number           |    1801320452
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    Entity Type          |    Individual 
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    Provider Name        |    LERAE J HILL APRN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/19/2017
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    Last Update Date     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    2699 STIRLING RD STE C407 
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    City                 |    FORT LAUDERDALE
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    State                |    FL
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    Zip                  |    33312-6592
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    Country              |    US
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    Telephone            |    305-981-1700
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    Fax                  |    844-270-3323
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Provider Business Mailing Address
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    Address Line         |    PO BOX 800123 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33280-0123
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    Country              |    US
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    Telephone            |    786-356-4100
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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        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    11002167
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    RN225861
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    License Number State |    GA
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    11002167
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    License Number State |    FL
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