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General NPI Number Information
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NPI Number | 1912460924
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Entity Type | Individual
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Provider Name | NICOLE MABARDI APRN
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Gender | Female
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 3901 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-5504
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Country | US
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Telephone | 305-854-1133
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Fax | 305-514-0076
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Provider Business Mailing Address
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Address Line | 2600 SW 27TH AVE APT 505
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City | MIAMI
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State | FL
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Zip | 33133-3001
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Country | US
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Telephone | 305-484-9426
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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 | 95010983
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9396730
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License Number State | FL
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