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General NPI Number Information
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NPI Number | 1114530078
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Entity Type | Individual
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Provider Name | EDILIA CARMENATE AG-APRN
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 1733 N UNIVERSITY DR
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City | PLANTATION
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State | FL
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Zip | 33322-4111
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Country | US
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Telephone | 954-748-8200
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Fax | 855-260-8208
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Provider Business Mailing Address
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Address Line | 6101 BLUE LAGOON DR STE 200
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City | MIAMI
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State | FL
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Zip | 33126-3168
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Country | US
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Telephone | 305-500-2000
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | 645754
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11009028
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License Number State | FL
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