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General NPI Number Information
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NPI Number | 1699656645
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Entity Type | Organization
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Legal Business Name | DOMINIQUE FARINAS APRN INC.
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 7800 SW 57TH AVE STE 208B
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5528
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Country | US
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Telephone | 786-853-1460
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Fax |
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Provider Business Mailing Address
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Address Line | 9810 SW 124TH CT
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City | MIAMI
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State | FL
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Zip | 33186-2428
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Country | US
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Telephone | 786-853-1460
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Fax |
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Authorized Official
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Title or Position | OWNER/MEDICAL PROVIDER
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Name | DOMINIQUE O FARINAS
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Credential | APRN
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Telephone | 786-853-1460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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