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General NPI Number Information
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NPI Number | 1932456423
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Entity Type | Individual
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Provider Name | JOSSUE CORRALES APRN, MSN, FNP-BC
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Gender | Male
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 7306 SW 117TH AVE
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City | MIAMI
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State | FL
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Zip | 33183-3804
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Country | US
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Telephone | 305-220-0220
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Fax | 877-370-4783
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Provider Business Mailing Address
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Address Line | 9725 NW 117TH AVE SUITE 200
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City | MIAMI
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State | FL
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Zip | 33178
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Country | US
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Telephone | 855-975-5119
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Fax | 305-413-4276
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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 | 9310329
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License Number State | FL
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