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General NPI Number Information
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NPI Number | 1023870441
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Entity Type | Individual
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Provider Name | YALILA MUNOZ OTANO MD, APRN
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Gender | Female
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | PO BOX 30532
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City | MANATI
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State | PR
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Zip | 00674-8513
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Country | US
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Telephone | 787-854-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 7314 SW 134TH CT
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City | MIAMI
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State | FL
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Zip | 33183-3238
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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 | 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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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11030576
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License Number State | FL
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