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General NPI Number Information
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NPI Number | 1740432848
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Entity Type | Individual
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Provider Name | JUAN O SEJAS ARNP
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Gender | Male
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 1300 NE MIAMI GARDENS DR APT 301
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City | MIAMI
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State | FL
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Zip | 33179-4730
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Country | US
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Telephone | 305-915-0659
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 NE MIAMI GARDENS DR APT 301
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City | MIAMI
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State | FL
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Zip | 33179-4730
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Country | US
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Telephone | 305-915-0659
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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 | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | HSE9513
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 9300064
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License Number State | FL
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