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General NPI Number Information
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NPI Number | 1689025033
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Entity Type | Individual
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Provider Name | GRACIELA ROQUE LINARES
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Gender | Female
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Dates
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Enumeration Date | 06/27/2016
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 10760 W FLAGLER ST STE 11
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City | MIAMI
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State | FL
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Zip | 33174-4404
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Country | US
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Telephone | 305-554-5144
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Fax | 855-676-6399
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Provider Business Mailing Address
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Address Line | 10760 W FLAGLER ST STE 11
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City | MIAMI
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State | FL
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Zip | 33174-4404
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Country | US
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Telephone | 305-554-5144
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Fax | 855-676-6399
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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 | ARNP9306890
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License Number State | FL
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