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General NPI Number Information
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NPI Number | 1639690969
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Entity Type | Individual
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Provider Name | AMELIA ROSELINE CENEVIL
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Gender | Female
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 5200 NE 2ND AVE FL 3
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City | MIAMI
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State | FL
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Zip | 33137-2706
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Country | US
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Telephone | 305-762-3883
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 LEONE DR
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City | HAINES CITY
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State | FL
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Zip | 33844-8534
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Country | US
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Telephone | 863-353-8097
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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 | 9280897
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License Number State | FL
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