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General NPI Number Information
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NPI Number | 1801436910
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Entity Type | Individual
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Provider Name | VICTORIA ROQUE APRN
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Gender | Female
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 19161 NW 57TH CT
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City | HIALEAH
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State | FL
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Zip | 33015-5042
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Country | US
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Telephone | 786-488-3304
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Fax |
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Provider Business Mailing Address
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Address Line | 19161 NW 57TH CT
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City | HIALEAH
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State | FL
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Zip | 33015-5042
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Country | US
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Telephone | 786-488-3304
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 41599283
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5024331
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 16253
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 326247
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 26NJ15589400
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License Number State | NJ
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024191319
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1176649
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9405352
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License Number State | FL
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Taxonomy #9
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1176649
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209034268
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License Number State | IL
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Taxonomy #11
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11005325
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License Number State | FL
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Taxonomy #12
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A184021
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License Number State | IA
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Taxonomy #13
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 960793
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License Number State | NY
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Taxonomy #14
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | GAA-NP002774
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License Number State | GA
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Taxonomy #15
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 355287
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License Number State | NY
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