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General NPI Number Information
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NPI Number | 1871037937
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Entity Type | Individual
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Provider Name | SUSAN SIMS NOBLES NP
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Gender | Female
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Dates
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Enumeration Date | 12/08/2016
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 3100 SW 62ND AVE
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City | MIAMI
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State | FL
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Zip | 33155-3009
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Country | US
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Telephone | 786-624-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 630 NW 49TH AVE
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City | COCONUT CREEK
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State | FL
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Zip | 33063-4629
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Country | US
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Telephone | 919-810-9999
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 11009867
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License Number State | FL
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