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General NPI Number Information
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NPI Number | 1134790025
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Entity Type | Individual
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Provider Name | BEATRIZ BORREGO RODRIGUEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 4218 E 4TH AVE
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City | HIALEAH
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State | FL
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Zip | 33013-2306
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Country | US
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Telephone | 305-266-2929
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Fax |
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Provider Business Mailing Address
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Address Line | 27041 SW 119TH CT
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City | HOMESTEAD
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State | FL
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Zip | 33032-3331
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Country | US
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Telephone | 786-371-1892
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11013984
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License Number State | FL
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