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General NPI Number Information
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NPI Number | 1003943994
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Entity Type | Organization
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Legal Business Name | DIANA MARIA BARALT PA
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/29/2010
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Provider Practice Location Address
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Address Line | 1800 SW 27TH AVE SUITE 207
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City | MIAMI
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State | FL
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Zip | 33145-2457
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Country | US
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Telephone | 305-443-8885
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Fax | 305-443-8886
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Provider Business Mailing Address
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Address Line | 1118 CAPRI ST
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City | CORAL GABLES
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State | FL
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Zip | 33134-2406
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Country | US
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Telephone | 305-661-9568
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIANA MARIA BARALT
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Credential | MD
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Telephone | 305-443-8885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME0072403
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License Number State | FL
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