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General NPI Number Information
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NPI Number | 1972128379
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Entity Type | Organization
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Legal Business Name | NURSE PRACTITIONER ON DEMAND LLC
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Dates
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Enumeration Date | 06/11/2020
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 1491 N FEDERAL HWY
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City | FORT LAUDERDALE
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State | FL
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Zip | 33304
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Country | US
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Telephone | 954-297-0740
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Fax |
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Provider Business Mailing Address
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Address Line | 6801 NW 46TH CT
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City | LAUDERHILL
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State | FL
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Zip | 33319-4024
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Country | US
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Telephone | 954-297-0740
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NADINE NORDEAN MCFARLANE
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Credential | MSN, FNP- BC
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Telephone | 954-297-0740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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