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General NPI Number Information
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NPI Number | 1033997945
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Entity Type | Individual
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Provider Name | ANA YNFANTE MAYORGA APRN, AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 1009 E 6TH ST
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City | ALICE
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State | TX
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Zip | 78332-4657
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Country | US
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Telephone | 361-668-8888
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Fax | 361-664-1818
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 361-668-8888
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Fax | 361-664-1818
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 1135579
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License Number State | TX
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