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General NPI Number Information
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NPI Number | 1689472268
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Entity Type | Individual
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Provider Name | PAULO YARBROUGH RN
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Gender | Male
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2106 S LOIS AVE
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City | TAMPA
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State | FL
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Zip | 33629-5659
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Country | US
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Telephone | 813-660-7605
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Fax |
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Provider Business Mailing Address
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Address Line | 11908 CLIMBING FERN AVE
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City | RIVERVIEW
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State | FL
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Zip | 33579-4093
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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 | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | RN9445979
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License Number State | FL
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