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General NPI Number Information
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NPI Number | 1467378158
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Entity Type | Individual
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Provider Name | YISEL MACOLA VERA
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Gender | Female
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 1134 SUNNYMEADE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32211-6077
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Country | US
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Telephone | 904-699-7798
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Fax |
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Provider Business Mailing Address
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Address Line | 1134 SUNNYMEADE DR
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City | JACKSONVILLE
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State | FL
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Zip | 32211-6077
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Country | US
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Telephone |
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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 | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | RN9704377
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number | RN9704377
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN9704377
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number | RN9704377
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN9704377
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 163WH1000X
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Taxonomy Name | Hospice Registered Nurse
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License Number | RN9704377
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 163WI0600X
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Taxonomy Name | Infection Control Registered Nurse
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License Number | RN9704377
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 163WR0400X
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Taxonomy Name | Rehabilitation Registered Nurse
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License Number | RN9704377
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 163WX0106X
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Taxonomy Name | Occupational Health Registered Nurse
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License Number | RN9704377
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | RN9704377
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License Number State | FL
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