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General NPI Number Information
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NPI Number | 1700527991
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Entity Type | Individual
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Provider Name | YAMIRA M ALEMAN RODRIGUEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 770 W DR MARTIN LUTHER KING JR BLVD
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City | SEFFNER
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State | FL
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Zip | 33584-4534
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Country | US
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Telephone | 813-654-7005
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 ASKEW DR # 1122
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City | BRANDON
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State | FL
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Zip | 33511-5831
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Country | US
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Telephone | 813-965-0832
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN11019053
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License Number State | FL
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