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General NPI Number Information
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NPI Number | 1073240032
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Entity Type | Individual
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Provider Name | MARIA OFELIA MIRABAL APRN
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Gender | Female
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Dates
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Enumeration Date | 08/01/2022
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 777 E 25TH ST STE 509
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City | HIALEAH
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State | FL
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Zip | 33013-3834
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Country | US
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Telephone | 305-420-5016
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Fax | 786-452-9901
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Provider Business Mailing Address
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Address Line | 245 NE 14TH ST APT 2007
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City | MIAMI
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State | FL
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Zip | 33132-1622
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Country | US
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Telephone | 305-420-5016
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Fax | 786-452-9901
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F03220698
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License Number State | FL
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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 | 11019096
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11019096
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License Number State | FL
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