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General NPI Number Information
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NPI Number | 1922434372
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Entity Type | Individual
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Provider Name | ADHERBAL FERREIRA DE SOUZA NETO ARNP, DNP
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Gender | Male
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Dates
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Enumeration Date | 09/17/2013
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Last Update Date | 07/01/2016
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Provider Practice Location Address
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Address Line | 1481 SE 17TH ST STE 7
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City | FORT LAUDERDALE
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State | FL
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Zip | 33316-1709
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Country | US
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Telephone | 281-813-8866
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 E SUNRISE BLVD APT 2312
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304-2385
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Country | US
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Telephone | 281-813-8866
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | ARNP9215294
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 588788
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License Number State | TX
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