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General NPI Number Information
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NPI Number | 1427553197
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Entity Type | Individual
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Provider Name | YADIRA NAPOLES DIAZ FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 2211 OKEECHOBEE RD
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City | FORT PIERCE
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State | FL
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Zip | 34950-6552
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Country | US
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Telephone | 772-230-5366
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Fax | 772-673-8172
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Provider Business Mailing Address
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Address Line | 168 SW DONNA TER
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City | PORT ST LUCIE
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State | FL
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Zip | 34984-4453
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Country | US
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Telephone | 786-312-2302
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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 | APRN11026126
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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