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General NPI Number Information
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NPI Number | 1295909976
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Entity Type | Individual
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Provider Name | YOVANIT FAJARDO AQUINO DNM, FNP-BC, ARNP
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Gender | Male
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1502 NW 4TH ST STE 5
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City | MIAMI
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State | FL
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Zip | 33125-4854
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Country | US
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Telephone | 305-569-4060
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Fax | 305-646-6757
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Provider Business Mailing Address
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Address Line | 6880 TAMIAMI CANAL RD
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City | MIAMI
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State | FL
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Zip | 33126-4451
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Country | US
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Telephone | 786-326-7504
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Fax | 350-235-3742
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9339362
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License Number State | FL
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