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General NPI Number Information
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NPI Number | 1447071964
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Entity Type | Individual
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Provider Name | GEYDI RESTIVO ARNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 3150 SW 38TH AVE STE 800
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City | MIAMI
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State | FL
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Zip | 33146-1530
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Country | US
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Telephone | 786-409-4131
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Fax |
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Provider Business Mailing Address
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Address Line | 16633 SW 107TH PL
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City | MIAMI
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State | FL
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Zip | 33157-2965
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Country | US
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Telephone | 305-721-8677
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11036005
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License Number State | FL
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