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General NPI Number Information
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NPI Number | 1861216194
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Entity Type | Individual
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Provider Name | PAULETTA MEDRANO VAZQUEZ
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Gender | Female
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 9100 S DADELAND BLVD
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City | MIAMI
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State | FL
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Zip | 33156-7814
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Country | US
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Telephone | 305-351-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 19330 SW 134TH CT
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City | MIAMI
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State | FL
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Zip | 33177-4133
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Country | US
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Telephone | 305-987-9312
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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 | 364SL0600X
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Taxonomy Name | Long-Term Care Clinical Nurse Specialist
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License Number | 30212716
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 30212716
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number | 30212716
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 30212716
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License Number State | FL
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