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General NPI Number Information
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NPI Number | 1033159835
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Entity Type | Individual
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Provider Name | RENE ANDINO MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 3416 W 84TH ST SUITE 100
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City | HIALEAH
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State | FL
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Zip | 33018-4923
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Country | US
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Telephone | 305-826-9449
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Fax | 305-828-1255
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Provider Business Mailing Address
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Address Line | 3416 W 84TH ST STE 100
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-4934
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Country | US
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Telephone | 305-826-9449
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Fax | 305-828-1255
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | ME66384
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME66384
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License Number State | FL
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