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General NPI Number Information
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NPI Number | 1477854198
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Entity Type | Individual
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Provider Name | ERNESTO L DIAZ ARNP
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Gender | Male
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Dates
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Enumeration Date | 11/11/2010
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 16340 NW 59TH AVE STE 200
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City | MIAMI LAKES
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State | FL
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Zip | 33014-5601
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Country | US
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Telephone | 305-363-4598
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Fax |
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Provider Business Mailing Address
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Address Line | 16340 NW 59TH AVE STE 200
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City | MIAMI LAKES
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State | FL
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Zip | 33014-5601
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Country | US
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Telephone | 305-363-4598
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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 | ARNP9382604
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License Number State | FL
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