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General NPI Number Information
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NPI Number | 1457890923
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Entity Type | Individual
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Provider Name | DALMIS BOULANDIER APRN
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Gender | Female
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 1150 NW 14TH ST
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City | MIAMI
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State | FL
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Zip | 33136-2137
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Country | US
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Telephone | 305-243-6090
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Fax | 305-243-6597
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Provider Business Mailing Address
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Address Line | 380 GIRALDA AVE 804W
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City | CORAL GABLES
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State | FL
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Zip | 33134-5062
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Country | US
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Telephone | 305-338-7839
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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 | 9339421
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN9339421
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License Number State | FL
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