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General NPI Number Information
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NPI Number | 1033898176
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Entity Type | Individual
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Provider Name | IVETTE CHRISTINA MADRIGAL
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Gender | Female
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Dates
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Enumeration Date | 07/17/2023
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 10860 SW 88TH ST STE 200
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City | MIAMI
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State | FL
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Zip | 33176-2680
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Country | US
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Telephone | 305-595-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 8200 SW 29TH ST
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City | MIAMI
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State | FL
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Zip | 33155-2425
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Country | US
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Telephone | 786-554-5222
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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 | 11027500
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License Number State | FL
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