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General NPI Number Information
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NPI Number | 1750013454
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Entity Type | Organization
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Legal Business Name | NURSE PRACTITIONERS ASSOCIATES INC
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Dates
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Enumeration Date | 06/30/2022
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Last Update Date | 09/14/2022
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Provider Practice Location Address
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Address Line | 13750 NW 107TH AVE STE 204
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City | MIAMI LAKES
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State | FL
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Zip | 33018-1278
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Country | US
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Telephone | 305-423-9677
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Fax | 786-558-5368
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Provider Business Mailing Address
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Address Line | 13750 NW 107TH AVE STE 204
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City | MIAMI LAKES
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State | FL
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Zip | 33018-1278
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Country | US
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Telephone | 305-423-9677
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Fax | 786-558-5368
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANNERY DIAZ
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Credential |
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Telephone | 786-514-0483
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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 |
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License Number State |
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