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General NPI Number Information
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NPI Number | 1902486996
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Entity Type | Organization
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Legal Business Name | HEALTH INCLUSIVE, LLC
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Dates
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Enumeration Date | 04/13/2021
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 4243 W HILLSBORO BLVD
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3213
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Country | US
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Telephone | 786-262-1984
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Fax |
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Provider Business Mailing Address
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Address Line | 4243 W HILLSBORO BLVD
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3213
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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 | PRESIDENT
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Name | ARLENE REID
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Credential | APRN
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Telephone | 786-262-1984
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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 |
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License Number State |
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