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General NPI Number Information
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NPI Number | 1134802929
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Entity Type | Individual
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Provider Name | YAMIRI LEON INFANTE
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Gender | Female
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Dates
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Enumeration Date | 08/09/2023
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 4995 NW 72ND AVE STE 406
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City | MIAMI
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State | FL
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Zip | 33166-5643
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Country | US
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Telephone | 305-603-8410
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Fax |
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Provider Business Mailing Address
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Address Line | 8136 SW 163RD CT
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City | MIAMI
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State | FL
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Zip | 33193-5120
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Country | US
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Telephone | 786-362-3923
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 666872
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License Number State | FL
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