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General NPI Number Information
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NPI Number | 1184518086
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Entity Type | Individual
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Provider Name | NILDA MUDARRA RRT
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Gender | Female
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 8731 SW 192ND TER
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City | CUTLER BAY
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State | FL
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Zip | 33157-8954
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Country | US
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Telephone | 786-389-8813
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Fax | 305-723-2777
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Provider Business Mailing Address
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Address Line | 8731 SW 192ND TER
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City | CUTLER BAY
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State | FL
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Zip | 33157-8954
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Country | US
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Telephone | 786-909-8463
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Fax | 305-723-2777
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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 | 2279P1004X
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Taxonomy Name | Pulmonary Diagnostics Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2279P1005X
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Taxonomy Name | Pulmonary Rehabilitation Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2279H0200X
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Taxonomy Name | Home Health Registered Respiratory Therapist
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License Number | RT9656
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2279E1000X
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Taxonomy Name | Educational Registered Respiratory Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 227900000X
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Taxonomy Name | Registered Respiratory Therapist
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License Number |
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License Number State |
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