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General NPI Number Information
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NPI Number | 1912485822
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Entity Type | Individual
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Provider Name | DINORAH RODRIGUEZ REGALADO APRN
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Gender | Female
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 3901 NW 79TH AVE STE 256
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City | DORAL
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State | FL
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Zip | 33166-6554
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Country | US
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Telephone | 305-992-2421
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Fax | 305-675-4642
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Provider Business Mailing Address
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Address Line | 7123 W 4TH WAY
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City | HIALEAH
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State | FL
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Zip | 33014-4961
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Country | US
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Telephone | 786-344-3585
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Fax | 305-504-8813
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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 | 9387515
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 9387515
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License Number State | FL
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