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General NPI Number Information
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NPI Number | 1912540337
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Entity Type | Individual
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Provider Name | YANAY MACHADO QUESADA APRN
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Gender | Female
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Dates
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Enumeration Date | 10/18/2019
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 12002 SW 128TH CT STE 202
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City | MIAMI
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State | FL
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Zip | 33186-4643
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Country | US
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Telephone | 786-362-6114
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Fax | 786-362-6172
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Provider Business Mailing Address
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Address Line | 162 JASMINE CIR
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City | NAPLES
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State | FL
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Zip | 34102-5845
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Country | US
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Telephone | 786-337-0643
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11027395
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License Number State | FL
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