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General NPI Number Information
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NPI Number | 1265988125
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Entity Type | Individual
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Provider Name | YUDEYLIS LAU BS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 5901 NW 183RD ST STE 310
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City | HIALEAH
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State | FL
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Zip | 33015-6008
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Country | US
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Telephone | 786-418-9790
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Fax |
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Provider Business Mailing Address
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Address Line | 11390 SW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33174-1122
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Country | US
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Telephone | 305-972-6739
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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