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General NPI Number Information
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NPI Number | 1992063580
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Entity Type | Individual
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Provider Name | SERAFINA ANN SPADARO ARNP, MSN, ACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 04/05/2013
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Provider Practice Location Address
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Address Line | 9555 SW 163RD CT
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City | MIAMI
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State | FL
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Zip | 33196-1069
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Country | US
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Telephone | 786-467-2037
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Fax |
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Provider Business Mailing Address
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Address Line | 15912 SW 91ST CT
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1990
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4672388
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License Number State | FL
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