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General NPI Number Information
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NPI Number | 1316852569
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Entity Type | Individual
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Provider Name | ROXANA TROCHE CRUZ
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Gender | Female
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 1541 SE 12TH AVE STE 2829
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City | HOMESTEAD
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State | FL
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Zip | 33034-2699
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Country | US
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Telephone | 786-640-1424
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Fax | 786-601-7124
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Provider Business Mailing Address
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Address Line | 13102 SW 132ND TER
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City | MIAMI
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State | FL
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Zip | 33186-7457
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Country | US
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Telephone | 786-908-4826
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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 | 692178
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License Number State | FL
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