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General NPI Number Information
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NPI Number | 1932864824
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Entity Type | Individual
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Provider Name | AURORA MEJIA F10210880 FNP NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 08/02/2023
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Provider Practice Location Address
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Address Line | 1234 MCHENRY AVE STE A
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City | MODESTO
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State | CA
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Zip | 95350-5379
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Country | US
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Telephone | 786-556-0561
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Fax |
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Provider Business Mailing Address
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Address Line | 9805 SW 161ST PL
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City | MIAMI
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State | FL
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Zip | 33196-6603
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Country | US
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Telephone | 786-556-0561
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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 | F10210880
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95023718
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License Number State | CA
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