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General NPI Number Information
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NPI Number | 1174158034
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Entity Type | Individual
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Provider Name | YOSVANI GARCIA BOSS MSN, APRN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 03/11/2020
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 1100 W 79TH ST APT E5
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City | HIALEAH
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State | FL
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Zip | 33014-3579
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Country | US
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Telephone | 786-303-6176
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 W 79TH ST APT E5
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City | HIALEAH
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State | FL
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Zip | 33014-3579
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Country | US
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Telephone | 786-303-6176
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11006487
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License Number State | FL
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