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General NPI Number Information
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NPI Number | 1104256775
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Entity Type | Individual
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Provider Name | YUNET SAEZ SURGICAL FIRST ASSIS
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Gender | Female
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 681 SW PORT ST. LUCIE BLVD
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City | PORT ST. LUCIE
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State | FL
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Zip | 34953
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Country | US
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Telephone | 772-807-5566
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Fax | 772-807-7834
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Provider Business Mailing Address
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Address Line | 11621 KEW GARDENS AVE. STE. 101
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410
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Country | US
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Telephone | 561-630-3870
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Fax | 561-630-3680
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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 | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | 13-377
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License Number State | FL
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