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General NPI Number Information
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NPI Number | 1679283766
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Entity Type | Individual
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Provider Name | MR. YONI PALENQUE
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Gender | Male
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 5901 SW 74TH ST STE 408
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5164
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Country | US
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Telephone | 305-735-3555
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Fax | 954-990-7650
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Provider Business Mailing Address
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Address Line | 7261 SHERIDAN ST STE 340
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City | HOLLYWOOD
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State | FL
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Zip | 33024-2726
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Country | US
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Telephone | 954-561-6222
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11033467
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License Number State | FL
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