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General NPI Number Information
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NPI Number | 1205208436
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Entity Type | Individual
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Provider Name | JESSICA LUISE SANABRIA ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 9090 SW 87TH CT SUITE 200
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City | MIAMI
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State | FL
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Zip | 33176-2315
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Country | US
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Telephone | 786-924-1311
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Fax | 786-924-1313
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Provider Business Mailing Address
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Address Line | 9960 NW 116TH WAY SUITE 13
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City | MEDLEY
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State | FL
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Zip | 33178-1167
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Country | US
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Telephone | 786-924-1311
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Fax | 786-924-1313
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | ARNP9287892
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9287892
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License Number State | FL
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