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General NPI Number Information
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NPI Number | 1063360642
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Entity Type | Individual
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Provider Name | YEXELA MESA PEDRAZA
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Gender | Female
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Dates
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Enumeration Date | 03/19/2026
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 5765 NW 151ST ST
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2483
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Country | US
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Telephone | 305-826-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 W 79TH ST APT 228B
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City | HIALEAH
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State | FL
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Zip | 33014-3545
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Country | US
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Telephone | 786-752-0928
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI8300
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License Number State | FL
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