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General NPI Number Information
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NPI Number | 1841729241
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Entity Type | Individual
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Provider Name | YOYMA PEDROSO LOPEZ RN
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Gender | Female
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4521 192ND AVE SE
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City | NOBLE
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State | OK
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Zip | 73068
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Country | US
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Telephone | 941-284-4685
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Fax |
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Provider Business Mailing Address
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Address Line | 4521 192ND AVE SE
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City | NOBLE
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State | OK
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Zip | 73068-6018
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Country | US
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Telephone | 941-284-4685
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 077789
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | RN9350648
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163WX0800X
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Taxonomy Name | Orthopedic Registered Nurse
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License Number | RN9350648
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License Number State | FL
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