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General NPI Number Information
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NPI Number | 1447054754
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Entity Type | Individual
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Provider Name | ALYSSA LUISA MUNOZ APRN
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 3061 SW 160TH AVE STE 100
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City | MIRAMAR
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State | FL
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Zip | 33027-4213
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Country | US
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Telephone | 754-800-9465
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Fax |
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Provider Business Mailing Address
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Address Line | 15841 SW 49TH CT
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City | MIRAMAR
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State | FL
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Zip | 33027-4939
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Country | US
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Telephone | 954-647-3288
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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 | 11038273
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License Number State | FL
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