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General NPI Number Information
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NPI Number | 1982002705
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Entity Type | Individual
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Provider Name | ALENA DIAZ DE LA NUEZ
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Gender | Female
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Dates
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Enumeration Date | 12/10/2014
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 149 W 21ST ST STE 127-128
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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 | 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 | 786-453-8720
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11017177
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11017177
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License Number State | FL
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