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General NPI Number Information
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NPI Number | 1487059218
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Entity Type | Organization
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Legal Business Name | ROLANDA ANDRE
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 13100 NE 3RD CT
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City | NORTH MIAMI
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State | FL
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Zip | 33161-3909
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Country | US
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Telephone | 954-446-5638
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Fax |
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Provider Business Mailing Address
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Address Line | 13100 NE 3RD CT
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City | NORTH MIAMI
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State | FL
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Zip | 33161-3909
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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 | NURSE PRACTITIONER
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Name | ROLANDA DESIR ANDRE
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Credential | FNP
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Telephone | 954-446-5638
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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 | ARNP9358264
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License Number State | FL
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