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General NPI Number Information
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NPI Number | 1942317227
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Entity Type | Individual
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Provider Name | MYRLANDE DUBUISSON CPN
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Gender | Female
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16161 NW 57TH AVE
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6707
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Country | US
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Telephone | 305-625-3409
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 SW 143RD AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-3049
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Country | US
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Telephone | 954-431-2140
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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 | 1812982
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License Number State | FL
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