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General NPI Number Information
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NPI Number | 1871116020
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Entity Type | Individual
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Provider Name | TRENAE GARIBALDI APRN
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Gender | Female
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 06/20/2020
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Provider Practice Location Address
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Address Line | 4850 W OAKLAND PARK BLVD STE 219
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-7261
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Country | US
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Telephone | 954-730-2842
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Fax |
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Provider Business Mailing Address
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Address Line | 1865 79TH STREET CSWY
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-4238
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 212338
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License Number State | LA
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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 | 11007131
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License Number State | FL
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