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General NPI Number Information
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NPI Number | 1356227193
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Entity Type | Individual
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Provider Name | ANDREA C DEL VALLE URIBE FNP
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Gender | Female
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1760 SUMMIT LAKE DR STE 105
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City | TALLAHASSEE
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State | FL
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Zip | 32317-7942
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Country | US
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Telephone | 850-490-4071
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 SW 137TH PL
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City | MIAMI
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State | FL
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Zip | 33175-7556
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Country | US
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Telephone | 786-769-6622
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11039602
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License Number State | FL
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