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General NPI Number Information
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NPI Number | 1528631462
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Entity Type | Individual
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Provider Name | GANNELIN GUTIERREZ TURINO APRN
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Gender | Male
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 7100 W 20TH AVE STE 606
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City | HIALEAH
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State | FL
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Zip | 33016-1824
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Country | US
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Telephone | 305-505-7050
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Fax |
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Provider Business Mailing Address
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Address Line | 7430 MIAMI LAKES DR APT E107
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City | MIAMI LAKES
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State | FL
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Zip | 33014-6840
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Country | US
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Telephone | 305-505-7050
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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 | 11014360
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License Number State | FL
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