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General NPI Number Information
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NPI Number | 1588553564
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Entity Type | Individual
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Provider Name | MRS. NINETT LLORENTE
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Gender | Female
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 2925 AVENTURA BLVD STE 205
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City | AVENTURA
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State | FL
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Zip | 33180-3108
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Country | US
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Telephone | 305-933-6716
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Fax |
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Provider Business Mailing Address
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Address Line | 14729 SW 102ND TER
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City | MIAMI
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State | FL
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Zip | 33196-1629
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Country | US
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Telephone | 305-984-4110
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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 | PA9119814
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License Number State | FL
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