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General NPI Number Information
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NPI Number | 1992369243
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Entity Type | Individual
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Provider Name | MIHAELA G CORTEZA APRN
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Gender | Female
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Dates
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Enumeration Date | 04/23/2019
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 5000 W OAKLAND PARK BLVD
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33313-1503
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Country | US
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Telephone | 954-730-2823
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Fax |
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Provider Business Mailing Address
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Address Line | 9565 NW 27TH CT
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-4939
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Country | US
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Telephone | 561-665-1665
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 11002006
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 61199394
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11002006
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License Number State | FL
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