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General NPI Number Information
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NPI Number | 1346127891
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Entity Type | Individual
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Provider Name | YUDIT ODICIO DIAGO APRN
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1402 ROYAL PALM BEACH BLVD STE 200
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1668
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Country | US
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Telephone | 561-907-4888
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Fax | 561-429-2530
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Provider Business Mailing Address
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Address Line | 1402 ROYAL PALM BEACH BLVD STE 200
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1668
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Country | US
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Telephone | 561-907-4888
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Fax | 561-429-2530
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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 | APRN11040382
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License Number State | FL
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