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General NPI Number Information
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NPI Number | 1518269604
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Entity Type | Individual
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Provider Name | YESSENIA MARTINEZ RODRIGUEZ PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/01/2024
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Provider Practice Location Address
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Address Line | 8425 NW 169TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33016-6160
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Country | US
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Telephone | 786-867-3875
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Fax |
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Provider Business Mailing Address
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Address Line | 8425 NW 169TH TER
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City | MIAMI LAKES
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State | FL
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Zip | 33016-6160
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Country | US
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Telephone | 786-867-3875
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CBHCMS100480
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN9428825
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11009382
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 364SP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | APRN11009382
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11009382
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License Number State | FL
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