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General NPI Number Information
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NPI Number | 1750951778
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Entity Type | Individual
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Provider Name | YEDY AILED HERNANDEZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 06/30/2021
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 6050 W 20TH AVENUE 3RD FLOOR
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City | HIALEAH
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State | FL
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Zip | 33016-5183
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Country | US
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Telephone | 786-584-5555
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Fax | 786-584-5050
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Provider Business Mailing Address
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Address Line | 6050 W 20TH AVENUE 3RD FLOOR
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City | HIALEAH
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State | FL
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Zip | 33016-5183
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Country | US
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Telephone | 786-584-5555
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Fax | 786-584-5050
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 9430169
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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 | F06212826
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License Number State | FL
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