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General NPI Number Information
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NPI Number | 1013726496
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Entity Type | Individual
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Provider Name | CARLOS EDUARDO AYRES NETTO RDMS
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Gender | Male
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Dates
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Enumeration Date | 12/31/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 2627 NE 203RD ST STE 101
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City | AVENTURA
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State | FL
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Zip | 33180-1945
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Country | US
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Telephone | 305-935-2542
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Fax | 305-937-2622
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Provider Business Mailing Address
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Address Line | 20725 SW 184TH ST
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City | MIAMI
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State | FL
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Zip | 33187-1517
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Country | US
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Telephone | 305-965-0882
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Fax | 305-937-2622
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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 | 2471S1302X
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Taxonomy Name | Sonography Radiologic Technologist
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License Number | 285794
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License Number State | FL
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