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General NPI Number Information
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NPI Number | 1194225367
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Entity Type | Individual
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Provider Name | LAURA GOMEZ-COLIN
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Gender | Female
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Dates
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Enumeration Date | 02/14/2018
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Last Update Date | 11/01/2023
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Provider Practice Location Address
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Address Line | 9000 SW 137TH AVE
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City | MIAMI
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State | FL
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Zip | 33186-1411
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Country | US
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Telephone | 404-493-6051
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Fax |
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Provider Business Mailing Address
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Address Line | 9135 SOUTHERN ORCHARD RD S
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City | DAVIE
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State | FL
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Zip | 33328-6997
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Country | US
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Telephone | 404-493-6051
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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 | APRN9461716
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | APRN9461716
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License Number State | FL
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