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General NPI Number Information
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NPI Number | 1336622174
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Entity Type | Individual
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Provider Name | CHERYL YVETTE COLEMAN ARNP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 2065 NE 163RD ST
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4901
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Country | US
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Telephone | 305-944-0661
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Fax | 305-944-0662
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Provider Business Mailing Address
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Address Line | 20542 NE 2ND AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33179-1706
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Country | US
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Telephone | 305-930-3555
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Fax | 305-944-0662
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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 | 363LC1500X
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Taxonomy Name | Community Health Nurse Practitioner
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License Number | 2984882
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License Number State | FL
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