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General NPI Number Information
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NPI Number | 1417304296
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Entity Type | Individual
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Provider Name | HILDA FUNEZ-ESCOBAR ARNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 9301 NW 33RD ST
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City | DORAL
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State | FL
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Zip | 33172
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Country | US
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Telephone | 305-437-1188
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Fax |
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Provider Business Mailing Address
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Address Line | 634 SW 180TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4111
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Country | US
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Telephone | 201-988-9515
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9299489
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License Number State | FL
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