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General NPI Number Information
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NPI Number | 1447842638
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Entity Type | Individual
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Provider Name | YUDANIA DOMINGUEZ PHARM. D.
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Gender | Female
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 02/09/2021
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Provider Practice Location Address
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Address Line | 8600 NW 41ST ST
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City | DORAL
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State | FL
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Zip | 33166-6202
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Country | US
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Telephone | 786-356-1583
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 W 14TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-6233
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Country | US
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Telephone | 786-356-1583
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS53752
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License Number State | FL
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