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General NPI Number Information
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NPI Number | 1932404753
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Entity Type | Individual
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Provider Name | MAYDA CARIDAD GONZALEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 9900 BREN RD E
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 305-490-9317
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Fax |
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Provider Business Mailing Address
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Address Line | 6911 SW 147TH AVE APT 2G
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City | MIAMI
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State | FL
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Zip | 33193-1001
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Country | US
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Telephone | 305-490-9317
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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 | ARNP9265858
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN9265858
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License Number State | FL
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