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General NPI Number Information
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NPI Number | 1083939698
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Entity Type | Individual
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Provider Name | NAYIRA DIAZ BS
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Gender | Female
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Dates
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Enumeration Date | 04/07/2010
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Last Update Date | 05/01/2020
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Provider Practice Location Address
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Address Line | 7921 BIRD RD STE 41
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City | MIAMI
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State | FL
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Zip | 33155-6747
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Country | US
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Telephone | 305-425-1393
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Fax | 305-425-0269
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Provider Business Mailing Address
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Address Line | 16622 SW 71ST TER
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City | MIAMI
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State | FL
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Zip | 33193-5533
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Country | US
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Telephone | 305-397-5312
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Fax | 305-425-0269
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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