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General NPI Number Information
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NPI Number | 1174127765
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Entity Type | Individual
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Provider Name | JACQUELINE HURTADO MSN, RN, CPNP, CCRN
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Gender | Female
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Dates
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Enumeration Date | 11/24/2020
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 1611 NW 12TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1005
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Country | US
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Telephone | 305-585-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 805 N OLIVE AVE APT 226
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3733
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Country | US
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Telephone | 714-765-9733
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 11027177
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | 95013955
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License Number State | CA
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