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General NPI Number Information
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NPI Number | 1336811652
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Entity Type | Individual
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Provider Name | LENDY ANDRES GONZALEZ RODRIGUEZ
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Gender | Male
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Dates
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Enumeration Date | 10/05/2021
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 860 NW 42ND AVE STE 101
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City | MIAMI
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State | FL
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Zip | 33126-4174
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Country | US
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Telephone | 305-946-1526
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Fax | 877-550-1853
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Provider Business Mailing Address
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Address Line | 860 NW 42ND AVE FL 5
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City | MIAMI
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State | FL
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Zip | 33126-4172
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Country | US
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Telephone | 305-204-0333
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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 | APRN11014709
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License Number State | FL
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