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General NPI Number Information
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NPI Number | 1518414077
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Entity Type | Individual
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Provider Name | YENER DE LA CARIDAD VALDES DM
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 7306 SW 117TH AVE
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City | MIAMI
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State | FL
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Zip | 33183-3804
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Country | US
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Telephone | 305-220-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 108 SW 96TH CT
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City | MIAMI
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State | FL
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Zip | 33174-2046
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Country | US
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Telephone | 786-718-0468
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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 |
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License Number State |
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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 | 11024727
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License Number State | FL
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