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General NPI Number Information
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NPI Number | 1558901728
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Entity Type | Individual
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Provider Name | YAINET VALLE
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Gender | Female
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 9193 SUNSET DR STE 200
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City | MIAMI
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State | FL
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Zip | 33173-3487
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Country | US
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Telephone | 305-273-9377
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Fax | 305-273-9388
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Provider Business Mailing Address
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Address Line | 9407 FONTAINEBLEAU BLVD APT 211
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City | MIAMI
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State | FL
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Zip | 33172-5514
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Country | US
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Telephone | 786-340-3644
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9112945
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License Number State | FL
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