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General NPI Number Information
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NPI Number | 1760054126
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Entity Type | Individual
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Provider Name | LESTER ARMANDO QUINTANA DURAN FNP
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Gender | Male
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 05/06/2024
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Provider Practice Location Address
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Address Line | 2369 W 52ND ST
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City | HIALEAH
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State | FL
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Zip | 33016-7210
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Country | US
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Telephone | 305-825-0587
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Fax |
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Provider Business Mailing Address
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Address Line | 765 SW 101ST COURT CIR
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City | MIAMI
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State | FL
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Zip | 33174-1880
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Country | US
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Telephone | 786-439-4195
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11014050
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 11014050
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License Number State | FL
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