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General NPI Number Information
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NPI Number | 1669057477
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Entity Type | Individual
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Provider Name | DR. YADIAN SANTIESTEBAN LEYVA
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Gender | Male
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Dates
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Enumeration Date | 03/12/2021
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 9611 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-4030
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Country | US
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Telephone | 788-622-3960
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Fax | 447-888-4001
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Provider Business Mailing Address
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Address Line | 9611 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-4030
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Country | US
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Telephone | 786-622-3960
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Fax | 447-888-4001
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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 | 11011989
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License Number State | FL
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