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General NPI Number Information
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NPI Number | 1326403684
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Entity Type | Individual
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Provider Name | MAILENE YANES MD
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Gender | Female
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1840 W 49TH ST STE 105
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City | HIALEAH
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State | FL
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Zip | 33012-2948
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Country | US
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Telephone | 305-362-4382
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Fax |
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Provider Business Mailing Address
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Address Line | 13715 SW 32ND ST
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City | MIAMI
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State | FL
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Zip | 33175-6650
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Country | US
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Telephone | 305-281-2677
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ACN914
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 19461
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME139645
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License Number State | FL
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