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General NPI Number Information
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NPI Number | 1861734519
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Entity Type | Organization
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Legal Business Name | NOMA CORP
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 7340 W 18TH AVE
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City | HIALEAH
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State | FL
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Zip | 33014-3711
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Country | US
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Telephone | 305-702-9441
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Fax |
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Provider Business Mailing Address
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Address Line | 7340 W 18TH AVE
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City | HIALEAH
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State | FL
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Zip | 33014-3711
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Country | US
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Telephone | 305-702-9441
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTICIONER
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Name | MARLENE SANCHEZ
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Credential |
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Telephone | 305-702-9441
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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 | ARNP9244721
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License Number State | FL
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