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General NPI Number Information
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NPI Number | 1447856661
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Entity Type | Individual
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Provider Name | LYNETTE DE LA CARIDAD PAULA JORGE APRN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 12/11/2020
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 8323 NW 12TH ST STE 108
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City | DORAL
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State | FL
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Zip | 33126-1839
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Country | US
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Telephone | 305-400-8511
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Fax | 305-392-0184
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Provider Business Mailing Address
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Address Line | 8323 NW 12TH ST STE 108
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City | DORAL
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State | FL
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Zip | 33126-1839
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Country | US
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Telephone | 305-400-8511
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Fax | 305-392-0184
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11038804
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License Number State | FL
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