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General NPI Number Information
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NPI Number | 1245007004
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Entity Type | Individual
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Provider Name | SAMANTHA CHRISTINE URQUIDI
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Gender | Female
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 1201 NW 16TH ST
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City | MIAMI
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State | FL
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Zip | 33125-1624
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Country | US
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Telephone | 703-955-1001
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Fax |
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Provider Business Mailing Address
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Address Line | 3120 NW 100TH CT
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City | DORAL
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State | FL
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Zip | 33172-5916
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Country | US
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Telephone | 703-955-1001
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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 | 364SA2100X
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Taxonomy Name | Acute Care Clinical Nurse Specialist
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License Number | 9477622
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 11030484
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License Number State | FL
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