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General NPI Number Information
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NPI Number | 1962951517
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Entity Type | Individual
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Provider Name | JAVIER GARCIA ASENCIO ARNP
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Gender | Male
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 855 E 10TH AVE
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City | HIALEAH
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State | FL
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Zip | 33010-4645
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Country | US
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Telephone | 305-392-1166
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Fax | 888-562-3449
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Provider Business Mailing Address
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Address Line | 5021 E 2ND AVE
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City | HIALEAH
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State | FL
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Zip | 33013-1411
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Country | US
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Telephone | 305-987-4675
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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 | APRN8300583
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License Number State | FL
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