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General NPI Number Information
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NPI Number | 1720751050
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Entity Type | Individual
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Provider Name | ELIA MARIA CORREA-SIERRA FNP
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Gender | Female
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Dates
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Enumeration Date | 08/02/2021
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Last Update Date | 08/02/2021
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Provider Practice Location Address
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Address Line | PRADERA DEL RIO #154 RIO COCAL ST
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-479-7960
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Fax |
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Provider Business Mailing Address
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Address Line | URB. PRADERA DEL RIO # 3154
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City | TOA ALTA
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State | PR
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Zip | 00953
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Country | US
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Telephone | 787-479-7960
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9424010
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License Number State | FL
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