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General NPI Number Information
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NPI Number | 1073294583
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Entity Type | Individual
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Provider Name | MISS JAMELA HENRIETTE GUTIERREZ
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Gender | Female
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 16799 NE 1ST AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-3405
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Country | US
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Telephone | 305-652-3424
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Fax |
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Provider Business Mailing Address
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Address Line | 19501 W COUNTRY CLUB DR APT 401
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City | AVENTURA
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State | FL
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Zip | 33180-2472
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Country | US
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Telephone | 954-817-9194
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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 | APRN11027633
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License Number State | FL
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