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General NPI Number Information
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NPI Number | 1730731340
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Entity Type | Organization
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Legal Business Name | ISABEL K. YAGUE ARNP, INC.
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Dates
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Enumeration Date | 07/13/2019
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Last Update Date | 07/13/2019
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Provider Practice Location Address
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Address Line | 2461 SW 84TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-2458
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Country | US
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Telephone | 786-351-0167
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Fax | 305-402-0941
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Provider Business Mailing Address
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Address Line | 2461 SW 84TH AVE
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City | MIAMI
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State | FL
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Zip | 33155-2458
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Country | US
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Telephone | 786-351-0167
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Fax | 305-402-0941
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ISABEL KARINA YAGUE
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Credential | APRN
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Telephone | 786-351-0167
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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 |
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License Number State |
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