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General NPI Number Information
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NPI Number | 1992520316
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Entity Type | Individual
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Provider Name | KARA ANTOINETTE AINSLEY
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Gender | Female
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 3270 S UNIVERSITY DR
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City | DAVIE
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State | FL
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Zip | 33328
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Country | US
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Telephone | 954-262-4550
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Fax |
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Provider Business Mailing Address
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Address Line | 2815 N COURSE DR APT 103B
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City | POMPANO BEACH
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State | FL
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Zip | 33069-3075
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Country | US
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Telephone | 561-802-8986
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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