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General NPI Number Information
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NPI Number | 1609661685
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Entity Type | Individual
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Provider Name | TATIANA RIQUELME FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 4304 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2885
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Country | US
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Telephone | 305-674-2646
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Fax | 305-695-1370
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Provider Business Mailing Address
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Address Line | 145 SW 13TH ST APT 332
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City | MIAMI
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State | FL
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Zip | 33130-4301
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Country | US
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Telephone | 786-202-1609
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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 | APRN11035232
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9446018
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License Number State | FL
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