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General NPI Number Information
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NPI Number | 1932525722
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Entity Type | Individual
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Provider Name | FALANE ST JEAN APRN
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Gender | Female
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 8357 MISSIONWOOD CIRCLE N
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City | MIRAMAR
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State | FL
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Zip | 33025
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Country | US
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Telephone | 850-743-9156
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Fax | 850-875-9213
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Provider Business Mailing Address
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Address Line | 4429 HOLLYWOOD BLVD UNIT 813932
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City | HOLLYWOOD
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State | FL
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Zip | 33081-6051
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Country | US
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Telephone | 850-743-9156
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Fax | 850-875-9213
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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 | 11001529
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 9222281
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License Number State | FL
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