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General NPI Number Information
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NPI Number | 1457255945
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Entity Type | Organization
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Legal Business Name | KRYGO NP LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 5793 NW 151ST ST STE 5793B
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2479
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Country | US
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Telephone | 754-223-9292
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Fax | 941-491-7026
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Provider Business Mailing Address
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Address Line | 5793 NW 151ST ST STE 5793B
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2479
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Country | US
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Telephone | 754-223-9292
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Fax | 941-491-7026
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Authorized Official
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Title or Position | OWNER
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Name | YANISLEIDI GONZALEZ GONZALEZ
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Credential | APRN
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Telephone | 754-223-9292
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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 |
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License Number State | NULL
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