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General NPI Number Information
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NPI Number | 1902784481
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Entity Type | Individual
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Provider Name | RODICA NASTASA CHARLES APRN
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Gender | Female
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Dates
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Enumeration Date | 08/23/2025
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Last Update Date | 08/23/2025
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Provider Practice Location Address
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Address Line | 1322 SE 5TH CT
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City | DANIA BEACH
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State | FL
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Zip | 33004-5404
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Country | US
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Telephone | 954-249-5762
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Fax |
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Provider Business Mailing Address
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Address Line | 1322 SE 5TH CT
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City | DANIA BEACH
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State | FL
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Zip | 33004-5404
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Country | US
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Telephone | 954-249-5762
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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 | APRN11041824
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License Number State | FL
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