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General NPI Number Information
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NPI Number | 1619439874
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Entity Type | Individual
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Provider Name | YOLANDA COLLADA FNP MSN RN
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Gender | Female
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Dates
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Enumeration Date | 04/04/2019
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 900 BAY DR APT 501
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City | MIAMI BEACH
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State | FL
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Zip | 33141-5654
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Country | US
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Telephone | 786-859-6976
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Fax |
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Provider Business Mailing Address
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Address Line | 900 BAY DR APT 501
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City | MIAMI BEACH
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State | FL
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Zip | 33141-5654
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Country | US
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Telephone | 786-859-6976
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 03190573
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11002174
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License Number State | FL
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