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General NPI Number Information
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NPI Number | 1891658233
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Entity Type | Individual
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Provider Name | YANAI DENISE CALDERON APRN
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 8726 NW 26TH ST STE 27
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City | DORAL
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State | FL
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Zip | 33172-1629
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Country | US
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Telephone | 754-332-2975
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Fax |
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Provider Business Mailing Address
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Address Line | 3365 DELANEY DR APT 110
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City | MELBOURNE
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State | FL
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Zip | 32934-7511
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Country | US
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Telephone | 786-797-3283
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RN9483081
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License Number State | FL
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