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General NPI Number Information
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NPI Number | 1245640697
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Entity Type | Individual
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Provider Name | MARIA Y CARRACEDO-SANCHEZ
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Gender | Female
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 777 E 25TH ST STE 409
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City | HIALEAH
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State | FL
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Zip | 33013-3835
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Country | US
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Telephone | 305-308-7321
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Fax | 305-681-0829
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Provider Business Mailing Address
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Address Line | 621 E 48TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-1957
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Country | US
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Telephone | 305-308-7321
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Fax | 305-681-0829
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 3034582
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License Number State | FL
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