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General NPI Number Information
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NPI Number | 1568026094
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Entity Type | Individual
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Provider Name | LISSETTE DE LA CARIDAD POZO IZQUIERDO APRN
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Gender | Female
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 3100 S DOUGLAS RD
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City | CORAL GABLES
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State | FL
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Zip | 33134-6914
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Country | US
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Telephone | 305-441-6868
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Fax |
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Provider Business Mailing Address
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Address Line | 1408 SW 131ST PLACE CIR E
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City | MIAMI
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State | FL
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Zip | 33184-2027
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Country | US
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Telephone | 786-942-5097
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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 | 11000668
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License Number State | FL
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