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General NPI Number Information
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NPI Number | 1841908969
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Entity Type | Individual
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Provider Name | MICHELLE LYNN MCCLOSKY NP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2022
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 4306 ALTON RD FL 3
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2840
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Country | US
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Telephone | 305-535-3464
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Fax |
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Provider Business Mailing Address
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Address Line | 1498 JEFFERSON AVE APT 202
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City | MIAMI BEACH
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State | FL
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Zip | 33139-3832
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Country | US
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Telephone | 248-933-5486
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN11022580
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License Number State | FL
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