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General NPI Number Information
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NPI Number | 1598186355
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Entity Type | Individual
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Provider Name | GLYSEL MADRIGAL FNP
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Gender | Female
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Dates
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Enumeration Date | 12/21/2013
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Last Update Date | 12/21/2013
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Provider Practice Location Address
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Address Line | 7832 COLLINS AVE APT 407
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City | MIAMI BEACH
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State | FL
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Zip | 33141-2173
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Country | US
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Telephone | 305-484-6191
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Fax |
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Provider Business Mailing Address
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Address Line | 904-590 BEVERLY ST.
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City | THUNDER BAY
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State | ON
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Zip | P7B6H1
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Country | CA
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Telephone | 807-629-5177
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Fax | 807-683-7404
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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 | 9228055
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License Number State | FL
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