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General NPI Number Information
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NPI Number | 1942756382
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Entity Type | Individual
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Provider Name | RUTH BEAUFOSSE APRN
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Gender | Female
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Dates
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Enumeration Date | 08/26/2016
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 1101 W BROWARD BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1638
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Country | US
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Telephone | 954-527-6041
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Fax | 954-527-6052
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Provider Business Mailing Address
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Address Line | 1700 NW 49TH ST STE 125
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3750
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Country | US
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Telephone | 954-527-6041
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Fax | 954-527-6052
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP9297913
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 9297913
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License Number State | FL
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