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General NPI Number Information
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NPI Number | 1871935544
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Entity Type | Individual
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Provider Name | PRISCILA NOGUEIRA DE SOUZA NP
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Gender | Female
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Dates
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Enumeration Date | 07/23/2013
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Last Update Date | 07/23/2013
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Provider Practice Location Address
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Address Line | 190 GLADES RD STE E
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City | BOCA RATON
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State | FL
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Zip | 33432-1642
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Country | US
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Telephone | 561-338-4944
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Fax |
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Provider Business Mailing Address
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Address Line | 9862 PALMA VISTA WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-3500
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Country | US
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Telephone | 561-479-7915
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 9169630
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License Number State | FL
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