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General NPI Number Information
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NPI Number | 1437985991
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Entity Type | Individual
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Provider Name | CELESTINO MARIO LABORI CARDA NP
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Gender | Male
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 10250 SW 56TH ST STE C101
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City | MIAMI
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State | FL
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Zip | 33165-7065
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Country | US
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Telephone | 786-558-8901
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 SW 23RD ST APT 41
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City | MIAMI
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State | FL
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Zip | 33155-1649
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Country | US
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Telephone | 305-926-1029
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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 | APRN11035062
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License Number State | FL
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