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General NPI Number Information
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NPI Number | 1104313402
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Entity Type | Individual
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Provider Name | JORGE L SOLER IGLESIAS NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2230 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33147-2414
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Country | US
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Telephone | 305-827-2977
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Fax | 305-820-6374
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Provider Business Mailing Address
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Address Line | 2230 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33147-2414
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Country | US
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Telephone | 305-827-2977
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Fax | 305-820-6374
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11038363
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95008740
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License Number State | CA
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