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General NPI Number Information
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NPI Number | 1972924819
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Entity Type | Individual
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Provider Name | JAYLER VALDES HECHEVARRIA ARNP
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Gender | Male
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Dates
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Enumeration Date | 12/19/2013
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 149 W 21ST ST
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City | HIALEAH
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State | FL
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Zip | 33010-2615
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Country | US
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Telephone | 305-558-0765
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Fax | 786-219-4355
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Provider Business Mailing Address
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Address Line | 11255 SW 211TH ST AMERICAN CARE OF SOUTH FLORIDA, INC.
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City | MIAMI
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State | FL
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Zip | 33189-2240
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Country | US
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Telephone | 305-278-0200
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Fax | 786-235-0145
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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 | ARNP-9338953
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License Number State | FL
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