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General NPI Number Information
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NPI Number | 1508404708
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Entity Type | Individual
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Provider Name | DULIEN CONTRERAS RODRIGUEZ NP
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Gender | Male
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 9350 SW 72ND ST
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City | MIAMI
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State | FL
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Zip | 33173-3286
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Country | US
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Telephone | 786-343-0551
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Fax | 786-590-1866
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Provider Business Mailing Address
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Address Line | 9350 SW 72ND ST STE 112
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City | MIAMI
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State | FL
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Zip | 33173-3245
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Country | US
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Telephone | 786-343-0551
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Fax | 786-323-7386
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11005271
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11005271
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License Number State | FL
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