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General NPI Number Information
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NPI Number | 1649955469
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Entity Type | Organization
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Legal Business Name | YANES FAMILY PRIMARY CARE LLC
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Dates
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Enumeration Date | 06/19/2023
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 6311 BRENTON POINTE CV
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City | ORLANDO
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State | FL
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Zip | 32829-8020
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Country | US
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Telephone | 407-692-1730
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Fax |
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Provider Business Mailing Address
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Address Line | 6311 BRENTON POINTE CV
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City | ORLANDO
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State | FL
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Zip | 32829-8020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIGUEL YANES DELGADO
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Credential | APRN
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Telephone | 407-692-1730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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