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General NPI Number Information
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NPI Number | 1821973637
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Entity Type | Individual
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Provider Name | YANET CARRERAS MANDADO
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Gender | Female
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3660 CENTRAL AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-7699
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Country | US
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Telephone | 239-288-0039
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Fax | 844-916-0999
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Provider Business Mailing Address
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Address Line | 1821 NE 17TH ST
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City | CAPE CORAL
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State | FL
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Zip | 33909-5401
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Country | US
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Telephone | 786-553-5972
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Fax | 844-916-0999
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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 | 11041508
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License Number State | FL
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