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General NPI Number Information
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NPI Number | 1841016987
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Entity Type | Organization
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Legal Business Name | METAMORPHOSIS HEALTH LLC
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Dates
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Enumeration Date | 11/22/2024
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 550 SE 6TH AVE STE 200Y
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5306
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Country | US
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Telephone | 561-944-8180
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Fax | 561-769-3202
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Provider Business Mailing Address
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Address Line | 550 SE 6TH AVE STE 200Y
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5306
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Country | US
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Telephone | 561-944-8180
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Fax | 561-769-3202
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Authorized Official
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Title or Position | APRN-AGACNP-BC
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Name | GABRIELLE MOUNT BORRERO
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Credential | APRN-AGACNP-BC
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Telephone | 561-944-8180
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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 |
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License Number State |
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