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General NPI Number Information
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NPI Number | 1871252379
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Entity Type | Individual
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Provider Name | DIEGO LEONARDO ZAPATA GRISALES APRN
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Gender | Male
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Dates
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Enumeration Date | 12/12/2021
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 18503 PINES BLVD STE 311
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1406
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Country | US
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Telephone | 544-992-5059
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Fax | 855-770-4383
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Provider Business Mailing Address
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Address Line | 9500 S DADELAND BLVD STE 200
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City | MIAMI
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State | FL
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Zip | 33156-2866
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Country | US
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Telephone | 865-303-8207
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN9428025
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | RN9428025
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License Number State | FL
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