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General NPI Number Information
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NPI Number | 1902933732
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Entity Type | Individual
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Provider Name | MELVA PATRICIA MCPHERSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 02/17/2020
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Provider Practice Location Address
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Address Line | 4000 N STATE ROAD 7 STE 409-1
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-4804
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Country | US
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Telephone | 954-306-6582
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Fax |
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Provider Business Mailing Address
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Address Line | 13119 SW 21ST ST
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City | MIRAMAR
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State | FL
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Zip | 33027-2666
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Country | US
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Telephone | 954-442-7167
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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 | ARNP1325672
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License Number State | FL
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