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General NPI Number Information
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NPI Number | 1215956149
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Entity Type | Individual
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Provider Name | VICTORIA M FAYA ARNP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1611 N.W. 12 AVE.
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-585-6901
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Fax |
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Provider Business Mailing Address
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Address Line | 14231 S.W. 155 ST.
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City | MIAMI
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State | FL
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Zip | 33177
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Country | US
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Telephone | 305-254-8860
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1559712
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License Number State | FL
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