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General NPI Number Information
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NPI Number | 1801479845
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Entity Type | Individual
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Provider Name | MARIA ELENA LOPEZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 4835 E 4TH AVE STE B
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City | HIALEAH
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State | FL
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Zip | 33013-1814
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Country | US
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Telephone | 786-899-0119
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Fax | 786-899-0440
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Provider Business Mailing Address
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Address Line | 2970 W 2ND AVE
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City | HIALEAH
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State | FL
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Zip | 33012-5404
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Country | US
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Telephone | 786-286-8962
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Fax | 786-899-0119
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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 | GAA-NP003726
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License Number State | GA
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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 | 11012907
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License Number State | FL
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