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General NPI Number Information
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NPI Number | 1396327409
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Entity Type | Individual
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Provider Name | ELANA MARISA KAYA-JENKINS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 390 NE 191ST ST STE 8333
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 561-730-2457
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Fax |
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Provider Business Mailing Address
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Address Line | 390 NE 191ST ST
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 561-946-4293
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11013792
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9369290
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License Number State | FL
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