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General NPI Number Information
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NPI Number | 1366374381
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Entity Type | Individual
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Provider Name | PHANESSA PEREZ A.P.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 8603 S DIXIE HWY
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City | PINECREST
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State | FL
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Zip | 33156-1107
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Country | US
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Telephone | 305-720-9895
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Fax |
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Provider Business Mailing Address
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Address Line | 5709 SW 118TH AVE
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City | MIAMI
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State | FL
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Zip | 33183-1721
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Country | US
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Telephone | 305-389-0824
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AP4746
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License Number State | FL
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