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General NPI Number Information
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NPI Number | 1275244790
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Entity Type | Individual
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Provider Name | MARTA LILIAN GARCIA DIAZ APRN
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Gender | Female
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Dates
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Enumeration Date | 12/06/2022
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 3146 SW 22ND ST
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City | MIAMI
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State | FL
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Zip | 33145-3210
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Country | US
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Telephone | 786-953-8874
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Fax | 305-400-8638
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Provider Business Mailing Address
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Address Line | 16012 SW 144TH TER
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City | MIAMI
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State | FL
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Zip | 33196-6404
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Country | US
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Telephone | 516-491-5810
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11023352
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11023352
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License Number State | FL
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