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General NPI Number Information
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NPI Number | 1568203818
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Entity Type | Individual
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Provider Name | YANET PLUTIN SANTOS APRN11033111
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Gender | Female
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/03/2024
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Provider Practice Location Address
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Address Line | 1511 FOREST HILL BLVD STE C
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City | LAKE CLARKE SHORES
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State | FL
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Zip | 33406-6077
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Country | US
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Telephone | 561-433-3556
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Fax | 561-967-5559
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Provider Business Mailing Address
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Address Line | 141 SW 96TH TER APT 204
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City | PLANTATION
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State | FL
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Zip | 33324-2329
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Country | US
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Telephone | 561-506-7764
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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 | APRN11033111
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License Number State | FL
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