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General NPI Number Information
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NPI Number | 1023725108
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Entity Type | Individual
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Provider Name | YANIN OTANO RAMON
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Gender | Female
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 12582 US HIGHWAY 19
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City | HUDSON
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State | FL
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Zip | 34667-1952
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Country | US
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Telephone | 727-516-8806
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 400
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City | MIAMI
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State | FL
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Zip | 33126-2051
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Country | US
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Telephone | 305-500-2000
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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 | 11022091
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License Number State | FL
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