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General NPI Number Information
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NPI Number | 1962891333
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Entity Type | Organization
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Legal Business Name | MYRLENE MIOT-DESMORNES ARNP
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 19601 NW 9TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-3142
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Country | US
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Telephone | 305-333-5938
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Fax |
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Provider Business Mailing Address
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Address Line | 19601 NW 9TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-3142
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Country | US
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Telephone | 305-333-5938
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | MRS. MYRLENE MIOT-DESMORNES
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Credential | NURSE PRACTITIONER
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Telephone | 305-333-5938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ARNP9225787
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License Number State | FL
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