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General NPI Number Information
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NPI Number | 1952550626
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Entity Type | Individual
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Provider Name | CARRON ELAINE BRAMWELL ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 19710 NW 9TH DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3368
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Country | US
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Telephone | 954-873-5831
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Fax | 954-437-1747
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Provider Business Mailing Address
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Address Line | 19710 NW 9TH DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-3368
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Country | US
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Telephone | 954-873-5831
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Fax | 954-437-1747
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP 2564802
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP 2564802
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License Number State | FL
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