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General NPI Number Information
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NPI Number | 1669335543
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Entity Type | Individual
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Provider Name | PAULINA CARRACEDO APRN
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 315 PALERMO AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134-6607
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Country | US
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Telephone | 305-308-8860
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Fax |
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Provider Business Mailing Address
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Address Line | 6830 SW 45TH LN APT 8
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City | MIAMI
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State | FL
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Zip | 33155-6823
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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 |
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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 | 11043926
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License Number State | FL
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