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General NPI Number Information
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NPI Number | 1689481285
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Entity Type | Individual
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Provider Name | MARIA JOSE ILABACA RIVERA LM, RN
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Gender | Female
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Dates
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Enumeration Date | 12/17/2024
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 520 BRICKELL KEY DR APT 1512
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City | MIAMI
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State | FL
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Zip | 33131-2660
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Country | US
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Telephone | 305-924-4031
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Fax |
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Provider Business Mailing Address
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Address Line | 520 BRICKELL KEY DR APT 1512
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City | MIAMI
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State | FL
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Zip | 33131-2660
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Country | US
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Telephone | 305-924-4031
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9595220
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 9595220
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 9595220
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 163WN0003X
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Taxonomy Name | Low-Risk Neonatal Registered Nurse
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License Number | 9595220
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | 9595220
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 9595220
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 9595220
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 445
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License Number State | FL
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