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General NPI Number Information
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NPI Number | 1376360883
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Entity Type | Individual
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Provider Name | YOENIA PARADA RODRIGUEZ DO
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Gender | Female
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 1951 W HICKPOCHEE AVE
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City | LABELLE
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State | FL
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Zip | 33935-4792
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Country | US
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Telephone | 863-302-6007
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Fax | 863-675-8012
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Provider Business Mailing Address
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Address Line | 902 MONET ST
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-6734
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Country | US
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Telephone |
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | DO7846
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License Number State | FL
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