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General NPI Number Information
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NPI Number | 1992241491
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Entity Type | Individual
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Provider Name | YANELYS MEDINA APRN
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Gender | Female
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Dates
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Enumeration Date | 01/09/2017
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Last Update Date | 08/09/2019
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Provider Practice Location Address
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Address Line | 21097 NE 27TH CT STE 410
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City | AVENTURA
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State | FL
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Zip | 33180-1249
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Country | US
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Telephone | 305-932-6375
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Fax | 305-932-9002
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Provider Business Mailing Address
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Address Line | 8181 NW 154TH ST STE 200
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City | MIAMI LAKES
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State | FL
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Zip | 33016-5861
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Country | US
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Telephone | 305-558-3724
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Fax | 786-260-0018
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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 | ARNP9295326
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License Number State | FL
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