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General NPI Number Information
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NPI Number | 1447892179
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Entity Type | Individual
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Provider Name | YULEIDY ANDARCIO LUJAN APRN
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Gender | Female
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 05/20/2020
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Provider Practice Location Address
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Address Line | 1600 NW 10TH AVE RM 2023-A
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City | MIAMI
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State | FL
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Zip | 33136-1015
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Country | US
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Telephone | 305-243-4472
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Fax | 305-243-6191
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Provider Business Mailing Address
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Address Line | 25041 SW 120TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33032-5981
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Country | US
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Telephone | 786-747-5465
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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 | 11004550
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11004550
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License Number State | FL
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