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General NPI Number Information
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NPI Number | 1518698448
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Entity Type | Individual
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Provider Name | YOLDIE VINCENT APRN
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Gender | Female
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 5799 LAKE WORTH RD
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City | GREENACRES
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State | FL
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Zip | 33463-3207
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Country | US
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Telephone | 561-967-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 6658 MANDARIN BLVD
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-3241
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Country | US
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Telephone | 561-315-1466
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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 | 11020350
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License Number State | FL
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