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General NPI Number Information
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NPI Number | 1710771274
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Entity Type | Individual
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Provider Name | VANESSA GURRI MENDEZ
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 9595 SW 88TH ST
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City | MIAMI
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State | FL
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Zip | 33176-1979
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Country | US
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Telephone | 786-302-7593
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Fax |
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Provider Business Mailing Address
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Address Line | 260 NW 57TH AVE APT 4
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City | MIAMI
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State | FL
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Zip | 33126-4819
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Country | US
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Telephone | 786-569-0544
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Fax | 786-569-0544
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11038793
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License Number State | FL
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