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NPI 1336422047

NPI 1336422047 : BERTHA CARRION ARNP : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1336422047
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    Entity Type          |    Individual 
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    Provider Name        |    BERTHA CARRION ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/20/2011
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    Last Update Date     |    02/16/2015
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Provider Practice Location Address
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    Address Line         |    13261 SW 209TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33177-7502
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    Country              |    US
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    Telephone            |    786-278-1940
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    Fax                  |    305-351-8788
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Provider Business Mailing Address
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    Address Line         |    13261 SW 209TH ST 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33177-7502
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    Country              |    US
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    Telephone            |    786-278-1940
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    Fax                  |    305-351-8788
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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       |    9265855
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    License Number State |    FL
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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       |    ARNP9265855
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    ARNP9265855
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    License Number State |    FL
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Taxonomy #4
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    ARNP9265855
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    License Number State |    FL
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Taxonomy #5
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    ARNP9265855
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    License Number State |    FL
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Taxonomy #6
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    ARNP9265855
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    License Number State |    FL
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Taxonomy #7
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    ARNP9265855
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    License Number State |    FL
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