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General NPI Number Information
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NPI Number | 1649929852
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Entity Type | Individual
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Provider Name | ARIACNE LOPEZ GONZALEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 03/23/2022
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 2230 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33147-2414
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Country | US
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Telephone | 305-827-2977
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Fax | 305-820-6374
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Provider Business Mailing Address
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Address Line | 2230 NW 95TH ST
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City | MIAMI
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State | FL
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Zip | 33147-2414
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Country | US
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Telephone | 305-827-2977
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Fax | 305-820-6374
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11018881
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License Number State | FL
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