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General NPI Number Information
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NPI Number | 1912830761
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Entity Type | Organization
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Legal Business Name | JUPITER 71269, CORP.
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Dates
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Enumeration Date | 06/03/2026
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Last Update Date | 06/03/2026
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Provider Practice Location Address
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Address Line | 11702 SW 240TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33032-3165
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Country | US
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Telephone | 786-238-6830
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Fax | 786-524-2442
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Provider Business Mailing Address
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Address Line | 11702 SW 240TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33032-3165
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Country | US
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Telephone | 786-238-6830
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Fax | 786-524-2442
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Authorized Official
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Title or Position | OWNER
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Name | YENIA TORRES
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Credential | APRN
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Telephone | 786-238-6830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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