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General NPI Number Information
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NPI Number | 1831782143
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Entity Type | Individual
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Provider Name | ARALDO LORENZO PONCE APRN - FNP
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Gender | Male
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 11700 OKEECHOBEE BLVD
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-8721
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Country | US
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Telephone | 561-790-0789
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Fax | 561-790-3884
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Provider Business Mailing Address
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Address Line | 712 SUNNY PINE WAY APT A3
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City | GREENACRES
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State | FL
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Zip | 33415-8969
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Country | US
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Telephone | 469-803-7186
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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 | 11011684
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License Number State | FL
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