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General NPI Number Information
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NPI Number | 1821989740
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Entity Type | Individual
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Provider Name | MAIDENLY LAZARA SOTOLONGO APRN
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2300 W 84TH ST STE 100
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City | HIALEAH
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State | FL
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Zip | 33016-5771
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Country | US
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Telephone | 305-563-9788
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Fax |
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Provider Business Mailing Address
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Address Line | 13120 SW 127TH CT
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City | MIAMI
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State | FL
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Zip | 33186-7582
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Country | US
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Telephone | 786-719-2645
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11040679
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License Number State | FL
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