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General NPI Number Information
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NPI Number | 1285129965
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Entity Type | Individual
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Provider Name | ISAURA RAYO
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Gender | Female
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 5000 W OAKLAND PARK BLVD
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1585
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Country | US
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Telephone | 305-928-7249
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Fax | 305-630-3632
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Provider Business Mailing Address
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Address Line | 8370 W FLAGLER ST STE 226
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City | MIAMI
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State | FL
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Zip | 33144-2040
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Country | US
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Telephone | 305-928-7249
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Fax | 305-630-3632
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | ARNP9312249
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License Number State | FL
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