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General NPI Number Information
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NPI Number | 1518534486
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Entity Type | Individual
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Provider Name | ANABEL VENEREO CANTILLO
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Gender | Female
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Dates
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Enumeration Date | 06/08/2021
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 4300 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2948
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Country | US
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Telephone | 786-862-9396
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Fax |
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Provider Business Mailing Address
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Address Line | 6001 NW 182ND LN APT 204
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City | HIALEAH
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State | FL
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Zip | 33015-2973
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Country | US
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Telephone | 786-862-9396
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F06210224
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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 | 9506395
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License Number State | FL
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