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General NPI Number Information
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NPI Number | 1134809288
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Entity Type | Individual
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Provider Name | ISMEL FERNANDEZ-CALIENES PMHNP
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Gender | Male
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Dates
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Enumeration Date | 07/24/2023
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Last Update Date | 03/15/2025
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Provider Practice Location Address
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Address Line | 8532 SW 8TH ST STE 290
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City | MIAMI
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State | FL
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Zip | 33144-4054
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Country | US
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Telephone | 786-927-8048
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Fax |
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Provider Business Mailing Address
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Address Line | 12891 SW 62ND LN
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City | MIAMI
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State | FL
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Zip | 33183-5450
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Country | US
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Telephone | 786-370-3039
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11027919
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License Number State | FL
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