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General NPI Number Information
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NPI Number | 1962288548
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Entity Type | Individual
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Provider Name | ANISLEY SOSA LLULL
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Gender | Female
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | PO BOX 8
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City | CAROLINA
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State | PR
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Zip | 00986-0008
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Country | US
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Telephone | 787-626-3322
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Fax |
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Provider Business Mailing Address
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Address Line | 4515 SW 116TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-5535
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Country | US
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Telephone | 786-635-7972
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11028337
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17299I
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License Number State | PR
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