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General NPI Number Information
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NPI Number | 1760240683
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Entity Type | Individual
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Provider Name | ARIANNY MEDINA MARUN
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Gender | Female
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 18300 NW 62ND AVE STE 100
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City | HIALEAH
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State | FL
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Zip | 33015-8207
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Country | US
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Telephone | 305-749-6203
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Fax | 786-520-3173
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Provider Business Mailing Address
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Address Line | 8210 SW 138TH AVE
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City | MIAMI
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State | FL
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Zip | 33183-4052
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Country | US
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Telephone | 786-873-2403
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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 | APRN11031120
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License Number State | FL
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