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General NPI Number Information
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NPI Number | 1851180137
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Entity Type | Organization
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Legal Business Name | APRN HEALTH CONSULT CLINIC LLC
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Dates
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Enumeration Date | 05/03/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 10122 SW 139TH ST
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City | MIAMI
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State | FL
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Zip | 33176-6682
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Country | US
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Telephone | 786-201-6249
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Fax | 925-281-3249
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Provider Business Mailing Address
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Address Line | 10122 SW 139TH ST
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City | MIAMI
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State | FL
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Zip | 33176-6682
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Country | US
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Telephone | 786-201-6249
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Fax | 925-281-3249
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Authorized Official
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Title or Position | CEO
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Name | MR. OLUWOLE PITAN
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Credential | APRN
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Telephone | 786-201-6249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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