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General NPI Number Information
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NPI Number | 1144945536
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Entity Type | Individual
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Provider Name | YADER JOAQUIN PEREZ NURSE PRACTITIONER
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Gender | Male
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Dates
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Enumeration Date | 10/07/2022
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 1380 NE MIAMI GARDENS DR STE 273
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33179-4758
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Country | US
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Telephone | 305-627-3972
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Fax | 305-517-6231
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Provider Business Mailing Address
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Address Line | 8793 NW 108TH LN
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-4523
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Country | US
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Telephone |
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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 | 11001938
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License Number State | FL
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