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General NPI Number Information
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NPI Number | 1083846893
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Entity Type | Individual
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Provider Name | YELLIANN RUIZ IRIZARRY MD
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Gender | Female
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Dates
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Enumeration Date | 08/12/2009
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 9299 SW 152ND ST STE 205
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1776
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Country | US
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Telephone | 305-901-6890
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Fax | 305-901-6899
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Provider Business Mailing Address
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Address Line | 12780 SW 71ST AVE
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City | PINECREST
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State | FL
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Zip | 33156-6239
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Country | US
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Telephone | 787-415-9639
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Fax | 305-901-6899
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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 | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1744R1102X
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Taxonomy Name | Research Study Specialist
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License Number | 17624
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 17624
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 124445
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License Number State | FL
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