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General NPI Number Information
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NPI Number | 1013550615
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Entity Type | Individual
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Provider Name | NIELYS FRANCIS INGLES DIAZ APRN
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Gender | Female
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Dates
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Enumeration Date | 10/26/2019
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Last Update Date | 07/23/2020
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Provider Practice Location Address
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Address Line | 6705 SW 57TH AVE STE 510
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3644
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Country | US
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Telephone | 305-850-9103
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Fax |
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Provider Business Mailing Address
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Address Line | 4265 NE 16TH ST
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City | HOMESTEAD
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State | FL
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Zip | 33033-6033
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Country | US
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Telephone | 305-781-6286
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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 | APRN11004583
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License Number State | FL
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