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General NPI Number Information
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NPI Number | 1306648993
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Entity Type | Individual
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Provider Name | YENIFER CAROLINA REMARTINI PACHECO
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 2211 OKEECHOBEE RD
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City | FORT PIERCE
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State | FL
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Zip | 34950-6552
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Country | US
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Telephone | 305-278-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 5828 NW BEGONIA AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34986-3605
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Country | US
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Telephone | 772-261-7634
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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 | 11038430
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License Number State | FL
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