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General NPI Number Information
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NPI Number | 1881337202
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Entity Type | Organization
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Legal Business Name | DR. MOMPRENUER LLC
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 5155 NW 87TH TER
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City | LAUDERHILL
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State | FL
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Zip | 33351-4879
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Country | US
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Telephone | 305-733-3691
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Fax | 954-904-3245
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Provider Business Mailing Address
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Address Line | 5155 NW 87TH TER
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City | LAUDERHILL
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State | FL
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Zip | 33351-4879
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Country | US
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Telephone | 305-733-3691
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANIELLE CADENHEAD
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Credential | APRN
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Telephone | 305-733-3691
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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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