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General NPI Number Information
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NPI Number | 1972524536
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Entity Type | Individual
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Provider Name | LAUREEN MARIE FLECK ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 07/10/2008
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Provider Practice Location Address
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Address Line | 5458 TOWN CENTER RD SUITE 21
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City | BOCA RATON
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State | FL
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Zip | 33486-1089
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Country | US
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Telephone | 561-750-7300
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Fax | 561-750-8918
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Provider Business Mailing Address
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Address Line | 21401 GOSIER WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-4840
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Country | US
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Telephone | 561-483-4424
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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 | 2757142
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License Number State | FL
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