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General NPI Number Information
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NPI Number | 1689275349
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Entity Type | Individual
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Provider Name | YDALINA INMACULADA COSTE JIMENEZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/07/2020
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 3555 10TH CT STE 200B
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City | VERO BEACH
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State | FL
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Zip | 32960-5013
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Country | US
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Telephone | 725-634-6737
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Fax |
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Provider Business Mailing Address
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Address Line | 3555 10TH CT STE 200B
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City | VERO BEACH
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State | FL
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Zip | 32960-5013
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Country | US
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Telephone | 772-563-4673
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 20-435
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11030383
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5021258
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11030383
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License Number State | FL
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