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General NPI Number Information
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NPI Number | 1083377964
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Entity Type | Individual
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Provider Name | JOEL HERNANDEZ RODRIGUEZ APRN
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Gender | Male
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 5101 SW 8TH STREET SUITE 200
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City | CORAL GABLES
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State | FL
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Zip | 33134-2442
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Country | US
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Telephone | 305-262-6060
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Fax | 305-262-6038
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Provider Business Mailing Address
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Address Line | 5101 SW 8TH STREET SUITE 200
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City | CORAL GABLES
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State | FL
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Zip | 33134-2442
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Country | US
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Telephone | 305-359-5037
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Fax | 786-509-5544
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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 | APRN11015984
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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 | 11015984
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License Number State | FL
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