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General NPI Number Information
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NPI Number | 1093951196
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Entity Type | Organization
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Legal Business Name | YANETH TRUJILLO MD.PA
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Dates
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Enumeration Date | 12/20/2008
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 1290 WESTON RD STE 203
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City | WESTON
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State | FL
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Zip | 33326-1909
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Country | US
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Telephone | 954-436-8036
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Fax | 954-949-9180
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Provider Business Mailing Address
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Address Line | 1290 WESTON RD STE 203
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City | WESTON
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State | FL
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Zip | 33326-1909
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Country | US
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Telephone | 954-436-8036
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Fax |
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Authorized Official
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Title or Position | FAMILY PHYSICIAN
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Name | DR. YANETH TRUJILLO
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Credential | MD
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Telephone | 954-675-9671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 080274
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME99221
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License Number State | FL
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