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General NPI Number Information
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NPI Number | 1821557323
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Entity Type | Individual
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Provider Name | ZOILA E ANTA VERGARA
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Gender | Female
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 4800 W FLAGLER ST STE 215
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City | CORAL GABLES
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State | FL
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Zip | 33134-1402
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Country | US
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Telephone | 954-368-4786
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Fax | 954-368-4101
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Provider Business Mailing Address
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Address Line | 4420 NW 79TH AVE APT 1F
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City | DORAL
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State | FL
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Zip | 33166-6323
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Country | US
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Telephone | 754-244-4322
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2024066684
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License Number State | FL
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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 | 11000997
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License Number State | FL
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