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General NPI Number Information
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NPI Number | 1699951707
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Entity Type | Individual
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Provider Name | MARTHA CARLOTA PEREIRA APRN
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Gender | Female
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Dates
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Enumeration Date | 01/18/2008
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 9220 SW 72ND ST STE 206
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City | MIAMI
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State | FL
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Zip | 33173-3259
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Country | US
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Telephone | 786-563-1550
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Fax | 786-563-1551
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Provider Business Mailing Address
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Address Line | 9220 SW 72ND ST STE 206
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City | MIAMI
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State | FL
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Zip | 33173-3259
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Country | US
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Telephone | 786-563-1550
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Fax | 786-563-1551
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9252828
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN9252828
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License Number State | FL
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