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General NPI Number Information
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NPI Number | 1982290003
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Entity Type | Individual
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Provider Name | NATHALIE VACHON APRN, FNP-C, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/13/2020
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Last Update Date | 12/13/2020
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Provider Practice Location Address
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Address Line | 10431 NW 24TH CT
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City | SUNRISE
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State | FL
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Zip | 33322-2605
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Country | US
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Telephone | 954-605-4799
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Fax |
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Provider Business Mailing Address
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Address Line | 10431 NW 24TH CT
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City | SUNRISE
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State | FL
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Zip | 33322-2605
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Country | US
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Telephone | 954-605-4799
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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 | 2020129054
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License Number State | FL
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