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General NPI Number Information
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NPI Number | 1427856269
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Entity Type | Individual
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Provider Name | AYAIZA FERNANDEZ RN
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Gender | Female
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 9619 S DIXIE HWY
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City | PINECREST
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State | FL
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Zip | 33156-2804
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Country | US
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Telephone | 786-882-1919
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Fax | 786-206-3161
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Provider Business Mailing Address
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Address Line | PO BOX 165154
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City | MIAMI
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State | FL
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Zip | 33116-5154
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Country | US
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Telephone | 786-882-1919
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Fax | 786-206-3161
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11045006
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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 | 9242644
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License Number State | FL
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