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General NPI Number Information
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NPI Number | 1437524063
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Entity Type | Organization
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Legal Business Name | JAUDER & DAYAMIS LLC
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Dates
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Enumeration Date | 12/08/2015
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Last Update Date | 12/08/2015
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Provider Practice Location Address
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Address Line | 14320 SW 39TH ST
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City | MIAMI
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State | FL
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Zip | 33175-7815
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Country | US
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Telephone | 305-767-6196
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Fax |
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Provider Business Mailing Address
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Address Line | 14320 SW 39TH ST
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City | MIAMI
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State | FL
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Zip | 33175-7815
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Country | US
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Telephone | 305-767-6196
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAUDER DIAZ
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Credential | ARNP
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Telephone | 305-767-6196
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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 | ARNP9250755
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License Number State | FL
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