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General NPI Number Information
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NPI Number | 1366723439
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Entity Type | Individual
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Provider Name | GABRIEL MIGUEL RODRIGUEZ SUAREZ AGNP
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Gender | Male
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 6667 MILLER DR APT 603
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City | MIAMI
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State | FL
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Zip | 33155-6446
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Country | US
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Telephone | 786-312-5480
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Fax |
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Provider Business Mailing Address
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Address Line | 6667 MILLER DR APT 603
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City | MIAMI
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State | FL
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Zip | 33155-6446
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Country | US
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Telephone | 786-312-5480
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 10266
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AG03210115
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN11013151
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License Number State | FL
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