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NPI 1811053036

NPI 1811053036 : MARILYN COMPANIONI ARNP : MIAMI, FL

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General NPI Number Information
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    NPI Number           |    1811053036
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    Entity Type          |    Individual 
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    Provider Name        |    MARILYN COMPANIONI ARNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/29/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1611 NW 12TH AVE 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33136-1005
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    Country              |    US
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    Telephone            |    305-585-6361
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    Fax                  |    305-585-8162
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Provider Business Mailing Address
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    Address Line         |    3890 NW 4TH TER 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33126-5630
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    Country              |    US
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    Telephone            |    305-541-1255
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    Fax                  |    305-585-8162
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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       |    ARNP 863782
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    License Number State |    FL
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