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General NPI Number Information
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NPI Number | 1083916001
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Entity Type | Individual
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Provider Name | JACINTO JOSE GARRIDO ARNP B-C
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Gender | Male
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 12/19/2013
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Provider Practice Location Address
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Address Line | 777 GLADES RD
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City | BOCA RATON
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State | FL
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Zip | 33431-6424
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Country | US
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Telephone | 561-297-2871
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 SW 140TH CT
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City | MIAMI
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State | FL
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Zip | 33175-8064
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Country | US
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Telephone | 305-951-0661
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP1743542
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License Number State | FL
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