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General NPI Number Information
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NPI Number | 1841883618
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Entity Type | Individual
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Provider Name | VANESSA ALEXANDRA ALBAN APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2021
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Last Update Date | 11/02/2023
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Provider Practice Location Address
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Address Line | 1903 S CONGRESS AVE STE 455
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-6559
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Country | US
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Telephone | 954-478-7079
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Fax | 949-561-5955
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Provider Business Mailing Address
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Address Line | 7418 MICHIGAN ISLE RD
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City | LAKE WORTH
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State | FL
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Zip | 33467-7789
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Country | US
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Telephone | 954-478-7079
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11009186
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License Number State | FL
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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 | 11009186
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License Number State | FL
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