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General NPI Number Information
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NPI Number | 1720976392
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Entity Type | Individual
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Provider Name | ANDRESA APARECIDA CARVALHO JIMENEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 3402 N ANDREWS AVENUE EXT
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City | POMPANO BEACH
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State | FL
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Zip | 33064-2067
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Country | US
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Telephone | 954-368-1302
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 W SAMPLE RD APT 39
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4650
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Country | US
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Telephone | 954-708-3440
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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 | F06251114
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License Number State | FL
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