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General NPI Number Information
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NPI Number | 1801334099
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Entity Type | Individual
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Provider Name | LIANA BAIXAULI APRN
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Gender | Female
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 6601 SW 80TH ST STE 208
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City | MIAMI
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State | FL
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Zip | 33143-4661
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Country | US
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Telephone | 305-397-8974
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Fax | 305-674-0472
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Provider Business Mailing Address
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Address Line | 6601 SW 80TH ST STE 208
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City | MIAMI
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State | FL
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Zip | 33143-4661
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Country | US
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Telephone | 305-397-8974
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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 | ARNP9355953
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License Number State | FL
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