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General NPI Number Information
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NPI Number | 1316340763
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Entity Type | Individual
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Provider Name | GIMOL EDITH ANIDJAR ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/30/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2999 191ST ST SUITE 250
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 305-933-1011
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Fax |
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Provider Business Mailing Address
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Address Line | 6000 ISLAND BLVD APT 3001
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City | AVENTURA
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State | FL
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Zip | 33160-3795
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Country | US
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Telephone | 786-247-6196
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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 | ARNP9364624
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License Number State | FL
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