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General NPI Number Information
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NPI Number | 1508204801
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Entity Type | Individual
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Provider Name | DIANA CATALINA MEJIA RN
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Gender | Female
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 20601 OLD CUTLER RD
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City | MIAMI
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State | FL
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Zip | 33189-4452
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Country | US
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Telephone | 305-259-6392
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Fax |
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Provider Business Mailing Address
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Address Line | 15180 SW 156 AVE
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City | MIAMI
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State | FL
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Zip | 33196
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Country | US
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Telephone | 786-387-0633
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | PN5203915
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9449280
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License Number State | FL
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